DR. TREVOR D BROYLES (DPT) – Physical Therapist, NPI 1043985336

DR. TREVOR D BROYLES (DPT) is a healthcare provider. based in Camilla, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT015472 (GA). The NPI Number for DR. TREVOR D BROYLES (DPT) is 1043985336

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. TREVOR D BROYLES (DPT)
NPI
1043985336
Phone
(229) 336-1115
Address
130 E BROAD ST
Enumeration Date
10 August 2021
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293361115
Graduation Year
2021 (5 years ago)
PAC ID
3072911916
Group Practice PAC ID
9234038662
Professional Enrollment ID
I20211007002172
Address ID
GA317301809CA130XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for DR. TREVOR D BROYLES (DPT)

  • 130 E BROAD ST

    CAMILLA, GA 317301809

    Phone: (229) 336-1115

    Fax: (229) 336-1151

    Mailing address matches the actual address.

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: 2021-10-07

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
I20211007002172IPhysical 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.

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 minutes1,551104$0
97530Therapy procedure using functional activities1,22199$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19832$0
97140Therapy procedure using manual technique, each 15 minutes13134$0
97161Evaluation for physical therapy, typically 20 minutes6355$0
View full utilization report →

Insurance plans in this area (ZIP 31730)

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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: 9234038662View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

How is DR. TREVOR D BROYLES (DPT) identified in CMS data?
CMS-hosted NPPES data lists DR. TREVOR D BROYLES (DPT) with NPI 1043985336.
Is DR. TREVOR D BROYLES (DPT) listed as active for patients and plans?
The listing shows DR. TREVOR D BROYLES (DPT) as active in the NPI system.
What healthcare role does DR. TREVOR D BROYLES (DPT) hold?
Scheduling teams often label DR. TREVOR D BROYLES (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does DR. TREVOR D BROYLES (DPT) serve?
DR. TREVOR D BROYLES (DPT)'s listing highlights Camilla, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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