ALISA MOSBY – Geriatric Physical Therapist, NPI 1174386114

ALISA MOSBY is a healthcare provider. based in Dallas, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT010552 (GA). The NPI Number for ALISA MOSBY is 1174386114

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
ALISA MOSBY
NPI
1174386114
Phone
Not provided
Address
365 NORTHRIDGE DR
Enumeration Date
2 February 2024
Last Update Date
2 February 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6784724042
Graduation Year
2006 (20 years ago)
PAC ID
5496285819
Group Practice PAC ID
5496781627
Professional Enrollment ID
I20250213002761
Address ID
GA301255904CE258XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for ALISA MOSBY

  • 365 NORTHRIDGE DR

    DALLAS, GA 301320558

    Phone:

    Type: Mailing

  • 3827 JIMMY LEE SMITH PKWY

    HIRAM, GA 301412804

    Phone: (770) 943-1142

    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: 2025-02-13

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
I20250213002761IPhysical 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 30132)

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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: 5496781627View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeGA
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What number should I use to identify ALISA MOSBY for billing?
Administrative and clinical systems typically use NPI 1174386114 for ALISA MOSBY.
Is ALISA MOSBY's NPI status active today?
Active status means ALISA MOSBY's NPI record is not deactivated in the public file.
What services align with ALISA MOSBY's listing?
ALISA MOSBY's public classification highlights Geriatric Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit ALISA MOSBY in Dallas, Georgia?
For routing, start with Dallas, Georgia for ALISA MOSBY, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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