Provider Demographics
NPI:1356447106
Name:REINBERGER, MARGARET COGHILL (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:COGHILL
Last Name:REINBERGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CEDAR CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-3404
Mailing Address - Country:US
Mailing Address - Phone:706-338-1471
Mailing Address - Fax:706-369-1656
Practice Address - Street 1:1551 JENNINGS MILL RD
Practice Address - Street 2:#1700A
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622
Practice Address - Country:US
Practice Address - Phone:706-369-9099
Practice Address - Fax:706-369-1656
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004128225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT004128OtherGA BOARD OF PHYSICAL THER
GA00934821AMedicaid
GAPT004128OtherGA BOARD OF PHYSICAL THER