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

Warner Brock, PT, CMDT, MBA, CEAS

Individual provider Physical Therapist · NPI 1063450054

Warner Brock, PT, CMDT, MBA, CEAS is a Physical Therapist in Private Practice in Gainesville, Georgia. Graduated from Medical College of Georgia School of Medicine in 1988, 38 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
38
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

100 Spring St Ste B
Gainesville, GA 30501-2565
Phone: (770) 532-5721
Fax: (770) 532-5929
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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 2651 (GA)

Record details

NPI number1063450054
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , CMDT , MBA , CEAS
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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