Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Al Wynne Querubin Gesite, PT

Individual provider Physical Therapist · NPI 1801066790

Al Wynne Querubin Gesite, PT is a Physical Therapist in Private Practice in Marietta, Georgia. Qualified in 1997, 29 years ago. Practices with Physioedge, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

670 N Ave NW Ste C
Marietta, GA 30060-1100
Phone: (404) 771-0554
Fax: (770) 442-3490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5853 (GA)

Record details

NPI number1801066790
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 6, 2008
Last updated in NPPESMarch 6, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Physioedge, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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