LORI REETHOF – Physical Therapist, NPI 1104459205

LORI REETHOF is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2572 (GA). The NPI Number for LORI REETHOF is 1104459205

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
LORI REETHOF
NPI
1104459205
Phone
(770) 630-6695
Address
630 GUNBY RD SE
Enumeration Date
17 February 2020
Last Update Date
17 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
1987 (39 years ago)
PAC ID
2163897802
Group Practice PAC ID
4082027727
Professional Enrollment ID
I20230411000198
Address ID
GA303031292AT260XXNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,899 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for LORI REETHOF

  • 630 GUNBY RD SE

    MARIETTA, GA 300675132

    Phone: (770) 630-6695

    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: 2023-04-11

PECOS data refreshed: 2026-06-15

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
I20230411000198IPhysical 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 30067)

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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: 4082027727View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Is LORI REETHOF listed with a National Provider Identifier?
Yes — LORI REETHOF has NPI 1104459205 on file in the registry.
Active or inactive — what applies to LORI REETHOF?
You should see LORI REETHOF as active in CMS-hosted NPPES data.
What expertise is attributed to LORI REETHOF?
LORI REETHOF's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with LORI REETHOF?
Directory geography for LORI REETHOF centers on Marietta, Georgia.
When was this NPI issued?
Enumeration for LORI REETHOF is noted as February 17, 2020 where the registry provides it.

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