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

Individual provider Physical Therapy Assistant · NPI 1104900869

John Degenaro, PTA is a Physical Therapy Assistant in Athens, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1765 Old West Broad St
Athens, GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3440 Highway 81, Loganville, GA 30052-9112 — (770) 554-5009

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA000612 (GA)

Record details

NPI number1104900869
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing address1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887

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