P Praxis·MD
● Active Type 1 · Individual

Jacob Chandler Fogarty

Physical Therapist·MacOn, GA· NPI 1487389052 · Enumerated 2022 · 3 years on NPI
Fogarty is 1 of 97 physical therapist providers in MacOn and 1 of 7225 in Georgia.
NPI age
3 years
Enumerated 2022-07-19
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-19
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
3 years
↓ 7 yr below median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-07Enumerated in NPPES
2022 2026

Where they practice

Practice location
124 3rd St
MacOn, GA 312013404
📞 4786620156
Mailing address
2 Mashburn St Ste 102
Hawkinsville, GA 310364961
📞 4784883359fax 4784883359

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 #PT014840 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new physical therapist providers have been added in MacOn in the last 180 days. See all →
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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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