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

Gary Sean Koncewicz, DPT

Individual provider Physical Therapist · NPI 1487065496

Gary Sean Koncewicz, DPT is a Physical Therapist in Private Practice in Lagrange, Georgia. Qualified in 2013, 13 years ago. Practices with Georgia Bone and Joint, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1805 Vernon Rd
Lagrange, GA 30240-3871
Phone: (706) 845-9383
Fax: (706) 845-9382
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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 PT011426 (GA)

Record details

NPI number1487065496
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Georgia Bone And Joint, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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