P Praxis·MD
● Active Type 1 · Individual

MRS. Clarice Dewitt Marty, LPTA

Physical Therapy Assistant·Fort Gordon, GA· NPI 1508031550 · Enumerated 2008 · 18 years on NPI
Marty is 1 of 9 physical therapy assistant providers in Fort Gordon and 1 of 1124 in Georgia.
NPI age
18 years
Enumerated 2008-04-29
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-04-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Practice location
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 309055650
📞 7067872720fax 7067878176
Mailing address
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials
Fort Gordon, GA 309055650
📞 7067872720fax 7067878176

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    GA license #GA 799 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 22 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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