DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) – Physical Therapist, NPI 1093747503

DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) is a healthcare provider. based in Warner robins, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT, MHS, OCS. They hold a License No. PT007078 (GA). The NPI Number for DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) is 1093747503

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS)
NPI
1093747503
Phone
(478) 953-3535
Address
405 OSIGIAN BLVD
Enumeration Date
7 July 2006
Last Update Date
14 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
0749226447
Group Practice PAC ID
9436132842
Professional Enrollment ID
I20050705000314
Address ID
GA310888958Wa405XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS)

  • 405, Osigian Boulevard, Warner Robins, Houston County, Georgia, 31088, United States

    THE CANTRELL CENTER FOR PHYSICAL THERAPY & SPORTS MEDIC

    WARNER ROBINS, GA 31088

    Phone: (478) 953-3535

    Fax: (478) 953-0353

    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: 2005-07-05

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
I20050705000314IPhysical 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
97530Therapy procedure using functional activities21441$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16939$0
97113Therapy procedure using water pool to exercises, each 15 minutes7915$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3413$0
97162Evaluation for physical therapy, typically 30 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 31088)

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Provider's Procedures

DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) 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 THERAPYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6618

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: 9436132842View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-IL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I verify DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) with an NPI only?
You can start verification with NPI 1093747503 for DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS), then check state licensing separately.
Can I rely on DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) being an active provider?
As of the registry snapshot, DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) is marked active.
What taxonomy line describes DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS)?
For research purposes, treat DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS)?
DR. LOLA SICARD ROSENBAUM (DPT, PT, MHS, OCS)'s geographic hint is Warner Robins, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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