Provider Demographics
NPI:1073767216
Name:GEBHARDT, MARGARET MARY (PT,DPT,OCS,FAAOMPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:GEBHARDT
Suffix:
Gender:F
Credentials:PT,DPT,OCS,FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 CALAVARAS RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-6922
Mailing Address - Country:US
Mailing Address - Phone:404-931-4023
Mailing Address - Fax:
Practice Address - Street 1:18077 BORDEAUX DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-5064
Practice Address - Country:US
Practice Address - Phone:404-931-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0094642251S0007X
NV48082251S0007X, 2251X0800X
GA0094742251S0007X, 2251X0800X
GAPT0094742251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports