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Marissa Sellers, PT

Physical Therapist in Dacula, GA. Individual provider (NPI-1).

NPI number1275015083
StatusActive
Last updated in NPPESMar 27, 2024

Details

NPI
1275015083
Entity type
Individual (NPI-1)
Name
Marissa Sellers
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2018
Certification date
Mar 27, 2024
Last updated
Mar 27, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT013605GAYes
225100000X Physical TherapistPTH10662AL

Other names

  • Marissa Gacek (Former Name)

Practice location

2463 Hamilton Mill Pkwy Ste 250
Dacula, GA 30019-4647

Phone 770-932-9521

Mailing address

Po Box 370
Fortson, GA 31808-0370

Other practice locations

1519 13th Ave
Columbus, GA 31901-1908

Phone 706-315-8175

5009 Riverchase Dr Ste 100c
Phenix City, AL 36867-7484

Phone 334-298-0650 · Fax 334-298-1020

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Dacula, GA

All 78 Physical Therapist providers in Dacula · All 898 providers in Dacula

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