WARNER BROCK (P.T.,CMDT, MBA, CEAS) – Physical Therapist, NPI 1063450054

WARNER BROCK (P.T.,CMDT, MBA, CEAS) is a healthcare provider. based in Gainesville, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.,CMDT, MBA, CEAS. They hold a License No. 2651 (GA). The NPI Number for WARNER BROCK (P.T.,CMDT, MBA, CEAS) is 1063450054

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
WARNER BROCK (P.T.,CMDT, MBA, CEAS)
NPI
1063450054
Phone
(770) 532-5721
Address
100 SPRING ST
Enumeration Date
3 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7062191330
Graduation Year
1988 (38 years ago)
PAC ID
4880652411
Professional Enrollment ID
I20041229000049
Address ID
GA305281178CL34XXXSQXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for WARNER BROCK (P.T.,CMDT, MBA, CEAS)

  • 100, Spring Street Southeast, Green Street-Brenau Historic District, Gainesville, Hall County, Georgia, 30501, United States

    SUITE B

    GAINESVILLE, GA 305012565

    Phone: (770) 532-5721

    Fax: (770) 532-5929

    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: 2004-12-29

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
I20041229000049IPhysical 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 minutes1,96876$0
97140Therapy procedure using manual technique, each 15 minutes1,12767$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37235$0
97530Therapy procedure using functional activities29048$0
97162Evaluation for physical therapy, typically 30 minutes3836$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Provider's Procedures

WARNER BROCK (P.T.,CMDT, MBA, CEAS) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97001Physical therapy evaluation127113
PHYSICAL THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes2326131

Reviews

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Frequently asked questions

What number should I use to identify WARNER BROCK (P.T.,CMDT, MBA, CEAS) for billing?
Administrative and clinical systems typically use NPI 1063450054 for WARNER BROCK (P.T.,CMDT, MBA, CEAS).
Is WARNER BROCK (P.T.,CMDT, MBA, CEAS) currently accepting referrals based on NPI status?
Registry metadata lists WARNER BROCK (P.T.,CMDT, MBA, CEAS) as active.
What services align with WARNER BROCK (P.T.,CMDT, MBA, CEAS)'s listing?
WARNER BROCK (P.T.,CMDT, MBA, CEAS)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is WARNER BROCK (P.T.,CMDT, MBA, CEAS) tied to Gainesville, Georgia?
If you are local to Gainesville, Georgia, WARNER BROCK (P.T.,CMDT, MBA, CEAS) may be relevant to your search.
Who maintains WARNER BROCK (P.T.,CMDT, MBA, CEAS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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