ALICIA ANN TOMBERLIN (DPT) – Physical Therapist, NPI 1194508010

ALICIA ANN TOMBERLIN (DPT) is a healthcare provider. based in Ponce inlet, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT40585 (FL). The NPI Number for ALICIA ANN TOMBERLIN (DPT) is 1194508010

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA ANN TOMBERLIN (DPT)
NPI
1194508010
Phone
(407) 592-7105
Address
4626 HARBOUR VILLAGE BLVD UNIT 3407
Enumeration Date
15 August 2023
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722882400
Graduation Year
2023 (3 years ago)
PAC ID
8527413491
Group Practice PAC ID
6406838895
Professional Enrollment ID
I20231012001374
Address ID
FL349944512ST1050XRDXX437
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ALICIA ANN TOMBERLIN (DPT)

  • 4626 HARBOUR VILLAGE BLVD UNIT 3407

    PONCE INLET, FL 321277279

    Phone: (407) 592-7105

    Type: Mailing

  • 701 PLATINUM PT

    LAKE MARY, FL 327464871

    Phone: (407) 338-3161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231012001374IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10523$0
97530Therapy procedure using functional activities3512$0
97161Evaluation for physical therapy, typically 20 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 32127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406838895View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physician AssistantFL
Pain ManagementFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryMA
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
-FL

Reviews

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Frequently asked questions

Can I cross-check ALICIA ANN TOMBERLIN (DPT) using NPI 1194508010?
NPI 1194508010 belongs to ALICIA ANN TOMBERLIN (DPT); compare other details if you need extra assurance.
Is ALICIA ANN TOMBERLIN (DPT) shown as active in public data?
Registry records indicate ALICIA ANN TOMBERLIN (DPT) maintains an active NPI.
How would a patient describe ALICIA ANN TOMBERLIN (DPT)'s focus?
For ALICIA ANN TOMBERLIN (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ALICIA ANN TOMBERLIN (DPT) located near Ponce Inlet?
ALICIA ANN TOMBERLIN (DPT) currently maps to Ponce Inlet, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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