ETHAN BARRETT (PT, DPT) – Physical Therapist, NPI 1164035648

ETHAN BARRETT (PT, DPT) is a healthcare provider. based in Snellville, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT014917 (GA). The NPI Number for ETHAN BARRETT (PT, DPT) is 1164035648

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN BARRETT (PT, DPT)
NPI
1164035648
Phone
(770) 982-0102
Address
2400 WISTERIA DR STE A
Enumeration Date
25 August 2020
Last Update Date
7 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705369300
Graduation Year
2020 (6 years ago)
PAC ID
8224456603
Group Practice PAC ID
5890692917
Professional Enrollment ID
I20200916003245
Address ID
GA3050125NDGA1640XSEXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for ETHAN BARRETT (PT, DPT)

  • 2400 WISTERIA DR STE A

    SNELLVILLE, GA 300782689

    Phone: (770) 982-0102

    Fax: (770) 982-0130

    Type: Mailing

  • 1640 JESSE JEWELL PKWY NE

    GAINESVILLE, GA 305012561

    Phone: (770) 536-9300

    Fax: (770) 536-9389

    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: 2020-09-16

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
I20200916003245IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,36172$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37553$0
97140Therapy procedure using manual technique, each 15 minutes35741$0
97530Therapy procedure using functional activities28944$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8118$0
View full utilization report →

Insurance plans in this area (ZIP 30078)

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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: 5890692917View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Is ETHAN BARRETT (PT, DPT) listed with a National Provider Identifier?
Yes — ETHAN BARRETT (PT, DPT) has NPI 1164035648 on file in the registry.
Active or inactive — what applies to ETHAN BARRETT (PT, DPT)?
You should see ETHAN BARRETT (PT, DPT) as active in CMS-hosted NPPES data.
What area of care is associated with ETHAN BARRETT (PT, DPT)?
ETHAN BARRETT (PT, DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ETHAN BARRETT (PT, DPT) associated with Snellville?
Public fields place ETHAN BARRETT (PT, DPT) around Snellville, Georgia. Always confirm the exact site before visiting.
Does ETHAN BARRETT (PT, DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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