MRS. KATIE M SEYMOUR (MPT) – Physical Therapist, NPI 1124145800

MRS. KATIE M SEYMOUR (MPT) is a healthcare provider. based in St simons island, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. PT007583 (GA). The NPI Number for MRS. KATIE M SEYMOUR (MPT) is 1124145800

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATIE M SEYMOUR (MPT)
NPI
1124145800
Phone
(716) 361-6536
Address
PO BOX 20281
Enumeration Date
26 March 2007
Last Update Date
10 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122305702
Graduation Year
2002 (24 years ago)
PAC ID
5991776551
Group Practice PAC ID
8921465444
Professional Enrollment ID
I20040805000675
Address ID
GA315222210ST115XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MRS. KATIE M SEYMOUR (MPT)

  • PO BOX 20281

    ST SIMONS ISLAND, GA 315228281

    Phone: (716) 361-6536

    Type: Mailing

  • 2601A DEMERE RD

    ST SIMONS ISLAND, GA 315221614

    Phone: (912) 634-9945

    Fax: (912) 638-1584

    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: 2004-08-05

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
I20040805000675IPhysical 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 31522)

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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: 8921465444View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL

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Frequently asked questions

Is there an official ID for MRS. KATIE M SEYMOUR (MPT) in U.S. healthcare records?
The official identifier for MRS. KATIE M SEYMOUR (MPT) is NPI 1124145800.
Active or inactive — what applies to MRS. KATIE M SEYMOUR (MPT)?
You should see MRS. KATIE M SEYMOUR (MPT) as active in CMS-hosted NPPES data.
How would a patient describe MRS. KATIE M SEYMOUR (MPT)'s focus?
For MRS. KATIE M SEYMOUR (MPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Georgia is MRS. KATIE M SEYMOUR (MPT) registered?
Use St Simons Island, Georgia as the headline location for MRS. KATIE M SEYMOUR (MPT) here.
When was this NPI issued?
Enumeration for MRS. KATIE M SEYMOUR (MPT) is noted as March 26, 2007 where the registry provides it.

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