GREGORY A PEMBERTON RPT AND OTR
NPI 1093938722
Physical Therapist in Watkinsville, GA

Active since April 11, 2007
2253 ALLEGHENY LANE, WATKINSVILLE, GA 30677(678) 753-1135(678) 753-1173 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gregory A Pemberton Rpt And Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY A PEMBERTON RPT AND OTR (NPI 1093938722) is an individual physical therapist in Watkinsville, Georgia, licensed in Georgia (PT002327) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1093938722
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameGREGORY A PEMBERTONCredential: RPT AND OTR
Location Address2253 ALLEGHENY LANEWatkinsville, GA 30677-8347
Mailing Address2253 Allegheny LaneWatkinsville, GA 30677-8347 · (678) 753-1135 · Fax (678) 753-1173
Fax(678) 753-1173
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1093938722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT002327
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT000620 (GA)
2253 ALLEGHENY LANE, Watkinsville, GA 30677

Other Identifiers 2

Medicaid000692546BGA
Medicaid000692546CGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory A Pemberton Rpt And Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Gregory Pemberton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
800 N LAKE DR
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 455 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Pemberton's NPI number?

The NPI number for Gregory Pemberton is 1093938722. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Gregory Pemberton located?

Gregory Pemberton practices at 2253 Allegheny Lane, Watkinsville, GA 30677. The listed phone number is (678) 753-1135.

What is Gregory Pemberton's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Gregory Pemberton enrolled in Medicare?

Yes. Gregory Pemberton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gregory Pemberton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Pemberton reassigns Medicare benefits to Fox Rehabilitation Services Of South Carolina, LLC (Lexington, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Pemberton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gregory Pemberton was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.