CASEY LORD (DPT) – Physical Therapist, NPI 1184469363

CASEY LORD (DPT) is a healthcare provider. based in Flowery branch, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT017151 (GA). The NPI Number for CASEY LORD (DPT) is 1184469363

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CASEY LORD (DPT)
NPI
1184469363
Phone
(404) 778-6390
Address
4450 FALCON PKWY
Enumeration Date
28 June 2024
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4045441272
Graduation Year
2024 (2 years ago)
PAC ID
2668904210
Group Practice PAC ID
1153382676
Professional Enrollment ID
I20241021001754
Address ID
GA305423176FL4450XPKWY300
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 CASEY LORD (DPT)

  • 4450 FALCON PKWY

    FLOWERY BRANCH, GA 305423176

    Phone: (404) 778-6390

    Mailing address matches the actual address.

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: 2024-10-21

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
I20241021001754IPhysical 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 30542)

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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: 1153382676View full group profile
NameSpecialtyState
-GA
-TN
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What is the standard ID for CASEY LORD (DPT) in the U.S.?
In the U.S., CASEY LORD (DPT) is identified by NPI 1184469363.
Is CASEY LORD (DPT)'s NPI status active today?
Active status means CASEY LORD (DPT)'s NPI record is not deactivated in the public file.
What services align with CASEY LORD (DPT)'s listing?
CASEY LORD (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to CASEY LORD (DPT)?
The directory associates CASEY LORD (DPT) with Flowery Branch, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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