Mary Jincy Chackonal, MSPT
Physical Therapist · Lawrenceville, GA
Mary Jincy Chackonal, MSPT is a physical therapist with a practice address in Lawrenceville, Georgia, and NPI 1124366349, issued on Jan 23, 2013. Check the license (Georgia PT008253, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Jincy Chackonal
- Credential
- MSPT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT008253 GA
Self-reported in NPPES; status is on the state search - Practice location
- 3100 Club Dr, Lawrenceville, GA 30044
- Phone
- (770) 923-3100
- Enumerated
- Jan 23, 2013
- Record last updated
- Jan 23, 2013 (not updated in 13 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 3100 Club Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amina Abdul-RashidOccupational Therapy Assistant1942544390
- Shani Clark, MS SLPSpeech-Language Pathologist1083910624
- Glen Cruz, PTPhysical Therapist1164696894
- Ashley Hagler, OTAOccupational Therapy Assistant1245681576
- Lisle HambrickOccupational Therapist1801130257
- Joshua MasonPhysical Therapy Assistant1700375714
Verify Mary Jincy Chackonal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license PT008253Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
164 physical therapist records list a practice address in Lawrenceville
They are 164 of the 4,400 NPPES records with a practice address in Lawrenceville, and 6,579 physical therapist records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 164 in Lawrenceville → All 6,579 in Georgia → Every provider in Lawrenceville →
Other physical therapist records in Georgia
- Kimberly A'Hearn, PT, DPTDalton, GA1235329715
- Laurice Aarons, PT, DPTDacula, GA1003426867
- Mitchell Aarons, PT, DPTRoswell, GA1902416282
- Gerard-Kyle Abad, DPTMarietta, GA1093485369
- Jesus Abad, PTBrunswick, GA1033244280
- Jose Abantao, PTTifton, GA1003936246
- Manal AbdulwahbTucker, GA1003743436
- Kathryn Abebe, PT, DPTAustell, GA1053685834
- Jack AbelHapeville, GA1114854692
- Schaefer AbercrombiePeachtree City, GA1376831727
Common questions
What is Mary Jincy Chackonal, MSPT's NPI number?
Mary Jincy Chackonal, MSPT's National Provider Identifier (NPI) is 1124366349, issued on Jan 23, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Mary Jincy Chackonal, MSPT located?
The NPPES record lists a practice address at 3100 Club Dr, Lawrenceville, GA, 30044. Phone: (770) 923-3100. Providers update this record themselves, so call before visiting.
How can I verify Mary Jincy Chackonal, MSPT's license?
NPPES lists Georgia license number PT008253, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.