Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stacey Allen Hathcock, DPT

Individual provider Physical Therapist · NPI 1083816243

Mr. Stacey Allen Hathcock, DPT is a Physical Therapist in Private Practice in Cordele, Georgia. Qualified in 2002, 24 years ago. Practices with Southwest Georgia Rehab, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2007
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

307 Third Avenue Crisp Regional Therapies
Cordele, GA 31015
Phone: (229) 271-4612
Fax: (229) 271-4616
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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 5830 (GA)

Record details

NPI number1083816243
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 1, 2007
Last updated in NPPESDecember 10, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southwest Georgia Rehab, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cordele