DR. JIBIN KOYIKKATHU TITUS (DPT) – Physical Therapist, NPI 1003591744

DR. JIBIN KOYIKKATHU TITUS (DPT) is a healthcare provider. based in Lilburn, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for DR. JIBIN KOYIKKATHU TITUS (DPT) is 1003591744

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIBIN KOYIKKATHU TITUS (DPT)
NPI
1003591744
Phone
(770) 846-6439
Address
512 KENION FOREST WAY
Enumeration Date
20 June 2023
Last Update Date
5 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047783350
Graduation Year
2023 (3 years ago)
PAC ID
2860925351
Group Practice PAC ID
1153382676
Professional Enrollment ID
I20241022004586
Address ID
GA303292315AT21XXXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for DR. JIBIN KOYIKKATHU TITUS (DPT)

  • 512 KENION FOREST WAY

    LILBURN, GA 300478809

    Phone: (770) 846-6439

    Type: Mailing

  • 966A KILLIAN HILL RD SW

    LILBURN, GA 300473102

    Phone: (770) 923-4815

    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: 2024-10-22

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
I20241022004586IPhysical Therapist In Private PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30047)

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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: 1153382676View full group profile
NameSpecialtyState
-GA
-TN
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Does DR. JIBIN KOYIKKATHU TITUS (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JIBIN KOYIKKATHU TITUS (DPT) uses 1003591744.
Does CMS list DR. JIBIN KOYIKKATHU TITUS (DPT) as active?
Yes — DR. JIBIN KOYIKKATHU TITUS (DPT) is active in the NPI listing used on this page.
What taxonomy line describes DR. JIBIN KOYIKKATHU TITUS (DPT)?
For research purposes, treat DR. JIBIN KOYIKKATHU TITUS (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. JIBIN KOYIKKATHU TITUS (DPT) serve?
DR. JIBIN KOYIKKATHU TITUS (DPT)'s listing highlights Lilburn, Georgia; more addresses can appear in NPPES.
Why does DR. JIBIN KOYIKKATHU TITUS (DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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