Provider Demographics
NPI:1285187054
Name:MCCARTY, RORY (DPT)
Entity Type:Individual
Prefix:
First Name:RORY
Middle Name:
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RORY
Other - Middle Name:
Other - Last Name:REESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:905 ARROWHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-5390
Mailing Address - Country:US
Mailing Address - Phone:478-333-6363
Mailing Address - Fax:478-333-6076
Practice Address - Street 1:905 ARROWHEAD TRL
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-5390
Practice Address - Country:US
Practice Address - Phone:478-333-6363
Practice Address - Fax:478-333-6076
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-28
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8142225100000X
GAPT0162822251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT016282OtherPT LICENSE
SC8142OtherPT LICENSE