MEDICARE: DR. DEBRA DANIELLE GASKIN PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT01515	GA

General Provider Information

NPI Number	:	1912580556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA DANIELLE GASKIN PT, DPT

Provider Business Mailing Address
First Line	:	4835 HANNAH RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-2301
Country	:	US
Telephone Number	:	561-715-4417
Fax Number	:

Provider Business Practice Location Address
First Line	:	2945 STONE HOGAN CONNECTOR RD SW STE 206
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-2839
Country	:	US
Telephone Number	:	470-370-3053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2021
Last Update Date	:	02/19/2026

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