P Praxis·MD
● Active Type 1 · Individual

MR. Stacey Allen Hathcock, DPT

Physical Therapist·Cordele, GA· NPI 1083816243 · Enumerated 2007 · 18 years on NPI
Hathcock is 1 of 20 physical therapist providers in Cordele and 1 of 7225 in Georgia.
NPI age
18 years
Enumerated 2007-06-01
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7225 active physical therapist providers in Georgia.

NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
307 Third Avenue, Crisp Regional Therapies
Cordele, GA 31015
📞 2292714612fax 2292714616
Mailing address
274 Eastwood Lake Dr
Cordele, GA 310155933
📞 2292713760fax 2292714612

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #5830 taxonomy 225100000X

Identifiers

TypeValueNotes
05 (GA) 474753088A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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