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

Xavier M McCullough, PTA

Individual provider Physical Therapy Assistant · NPI 1932742202

Xavier M McCullough, PTA is a Physical Therapy Assistant in McDonough, Georgia. Works from 3 locations. Licensed in California and Georgia.

Licensed in
CA, GA
In the registry since
2019
Specialties on file
2
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

898 Hampton Rd
McDonough, GA 30253-6514
Phone: (678) 583-9954
Fax: (678) 583-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1611 W Main St, El Centro, CA 92243-2212 — (760) 337-1144
  • 3100 Olympus Blvd, Dallas, TX 75019-5473 — (877) 456-2867

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence CP005018A (GA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 50253 (CA)

Record details

NPI number1932742202
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 19, 2019
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

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