STEPHEN RUSSELL WEYANDT (PT, DPT) – Physical Therapist, NPI 1164469565

STEPHEN RUSSELL WEYANDT (PT, DPT) is a healthcare provider. based in Peachtree city, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT6708 (GA). The NPI Number for STEPHEN RUSSELL WEYANDT (PT, DPT) is 1164469565

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN RUSSELL WEYANDT (PT, DPT)
NPI
1164469565
Phone
(678) 364-0337
Address
277 HIGHWAY 74 N
Enumeration Date
2 June 2006
Last Update Date
19 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342980650
Graduation Year
2004 (22 years ago)
PAC ID
5597799239
Group Practice PAC ID
5698930444
Professional Enrollment ID
I20160622002791
Address ID
AL368677484PH5009XDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for STEPHEN RUSSELL WEYANDT (PT, DPT)

  • Highway 54 West, Smokerise Corners, Longboat, Peachtree City, Fayette County, Georgia, 30269, United States

    SUITE 203

    PEACHTREE CITY, GA 302691569

    Phone: (678) 364-0337

    Fax: (678) 364-0858

    Type: Location

  • 8823 PRODUCTION LN

    OOLTEWAH, TN 373636511

    Phone: (423) 238-7217

    Fax: (423) 238-3473

    Type: Mailing

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: 2016-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050922000540IPhysical Therapist In Private PracticeGATBD
I20160622002791IPhysical Therapist In Private PracticeALTBD

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
97530Therapy procedure using functional activities679123$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes627117$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes572111$0
97140Therapy procedure using manual technique, each 15 minutes19462$0
97162Evaluation for physical therapy, typically 30 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 30269)

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Provider's Procedures

STEPHEN RUSSELL WEYANDT (PT, DPT) 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 evaluation8080

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: 5698930444View full group profile
NameSpecialtyState
-TN
-TN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
-TN
Physical Therapist In Private PracticeAL
-TN
Physical Therapist In Private PracticeAL
-TN
Physical Therapist In Private PracticeTN

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Frequently asked questions

Can I verify STEPHEN RUSSELL WEYANDT (PT, DPT) with an NPI only?
You can start verification with NPI 1164469565 for STEPHEN RUSSELL WEYANDT (PT, DPT), then check state licensing separately.
Does CMS list STEPHEN RUSSELL WEYANDT (PT, DPT) as active?
Yes — STEPHEN RUSSELL WEYANDT (PT, DPT) is active in the NPI listing used on this page.
What healthcare role does STEPHEN RUSSELL WEYANDT (PT, DPT) hold?
Scheduling teams often label STEPHEN RUSSELL WEYANDT (PT, DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHEN RUSSELL WEYANDT (PT, DPT)?
STEPHEN RUSSELL WEYANDT (PT, DPT)'s geographic hint is Peachtree City, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.