COURTNEY DURHAM (DPT) – Physical Therapist, NPI 1104618743

COURTNEY DURHAM (DPT) is a healthcare provider. based in Rome, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT017708 (GA). The NPI Number for COURTNEY DURHAM (DPT) is 1104618743

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
COURTNEY DURHAM (DPT)
NPI
1104618743
Phone
(706) 638-3880
Address
PO BOX 528
Enumeration Date
20 May 2025
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065284207
Graduation Year
2025 (1 year ago)
PAC ID
9436661105
Group Practice PAC ID
8426112137
Professional Enrollment ID
I20250626002847
Address ID
GA307520000TR12415STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for COURTNEY DURHAM (DPT)

  • PO BOX 528

    ROME, GA 301620528

    Phone: (706) 638-3880

    Type: Mailing

  • 106 PEARL DR STE 104

    LA FAYETTE, GA 307287510

    Phone: (706) 638-3880

    Type: Location

  • 13423 Highway 27 Ste A

    Trion, GA 307531556

    Phone: (706) 696-0505

    Type: Location

  • 1711 Martha Berry Blvd NW

    Rome, GA 301651623

    Phone: (706) 528-4207

    Type: Location

  • 12415 N Main Street

    Trenton, GA 30752

    Phone: (706) 657-2700

    Type: Location

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: 2025-06-26

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
I20250626002847IPhysical 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 30162)

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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: 8426112137View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for COURTNEY DURHAM (DPT)?
COURTNEY DURHAM (DPT) — NPI 1104618743 — is the standard way to identify this listing.
Does CMS list COURTNEY DURHAM (DPT) as active?
Yes — COURTNEY DURHAM (DPT) is active in the NPI listing used on this page.
What healthcare role does COURTNEY DURHAM (DPT) hold?
Scheduling teams often label COURTNEY DURHAM (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for COURTNEY DURHAM (DPT)?
COURTNEY DURHAM (DPT)'s geographic hint is Rome, Georgia in our summary view.
Is the information about COURTNEY DURHAM (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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