AUDREY E HERBERT (DPT) – Physical Therapist, NPI 1053691758

AUDREY E HERBERT (DPT) is a healthcare provider. based in Brunswick, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT010412 (GA). The NPI Number for AUDREY E HERBERT (DPT) is 1053691758

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY E HERBERT (DPT)
NPI
1053691758
Phone
(912) 265-9006
Address
3231 GLYNN AVE
Enumeration Date
25 August 2011
Last Update Date
25 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123427112
Graduation Year
2011 (15 years ago)
PAC ID
0143756247
Group Practice PAC ID
9931427002
Professional Enrollment ID
I20241212002916
Address ID
GA315204851BR3231XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for AUDREY E HERBERT (DPT)

  • 3231 GLYNN AVE

    BRUNSWICK, GA 315204851

    Phone: (912) 265-9006

    Fax: (912) 554-3636

    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: 2024-12-12

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
I20241212002916IPhysical 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 31520)

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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: 9931427002View full group profile
NameSpecialtyState
-GA
Orthopedic SurgeryGA
Physician AssistantSC
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeTX
Physician AssistantMO
Physical Therapist In Private PracticeGA
Family PracticeGA
Occupational Therapist In Private PracticeGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is AUDREY E HERBERT (DPT) listed with a National Provider Identifier?
Yes — AUDREY E HERBERT (DPT) has NPI 1053691758 on file in the registry.
Is AUDREY E HERBERT (DPT) shown as active in public data?
Registry records indicate AUDREY E HERBERT (DPT) maintains an active NPI.
What area of care is associated with AUDREY E HERBERT (DPT)?
AUDREY E HERBERT (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Georgia is AUDREY E HERBERT (DPT) registered?
Use Brunswick, Georgia as the headline location for AUDREY E HERBERT (DPT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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