ROGER ALAN KILCREASE (P.T.) – Orthopedic Physical Therapist, NPI 1104014125

ROGER ALAN KILCREASE (P.T.) is a healthcare provider. based in Tucker, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 5456 (GA). The NPI Number for ROGER ALAN KILCREASE (P.T.) is 1104014125

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
ROGER ALAN KILCREASE (P.T.)
NPI
1104014125
Phone
(770) 491-6004
Address
2191 NORTHLAKE PKWY
Enumeration Date
4 October 2007
Last Update Date
4 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7704916004
Graduation Year
1990 (36 years ago)
PAC ID
9739356577
Group Practice PAC ID
5395711725
Professional Enrollment ID
I20120119000743
Address ID
GA300845246TU1901XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for ROGER ALAN KILCREASE (P.T.)

  • 1-877-9-TakeAway, LLC., 2191 11-E, Northlake Parkway, Tucker, DeKalb County, Georgia, 30084, United States

    SUITE 31

    TUCKER, GA 300844166

    Phone: (770) 491-6004

    Fax: (770) 723-0872

    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: 2012-01-19

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
I20120119000743IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes1,80582$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes98982$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes98982$0
97164Re-evaluation for physical therapy, typically 20 minutes6239$0
97162Evaluation for physical therapy, typically 30 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 30084)

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Provider's Procedures

ROGER ALAN KILCREASE (P.T.) 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 evaluation3937

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: 5395711725View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
-GA
-GA

Reviews

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Frequently asked questions

What is ROGER ALAN KILCREASE (P.T.)'s NPI number?
ROGER ALAN KILCREASE (P.T.)'s NPI is 1104014125 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ROGER ALAN KILCREASE (P.T.)?
You should see ROGER ALAN KILCREASE (P.T.) as active in CMS-hosted NPPES data.
What expertise is attributed to ROGER ALAN KILCREASE (P.T.)?
ROGER ALAN KILCREASE (P.T.)'s specialty line reads Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Georgia is ROGER ALAN KILCREASE (P.T.) registered?
Use Tucker, Georgia as the headline location for ROGER ALAN KILCREASE (P.T.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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