MR. TIMOTHY EUGENE MOORE (PT) – Physical Therapist, NPI 1184721177
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for MR. TIMOTHY EUGENE MOORE (PT)
PO BOX 370
FORTSON, GA 318080370
Phone:
Type: Mailing
107 CALUMET CENTER RD
LAGRANGE, GA 302416705
Phone: (706) 884-3274
Fax: (706) 882-2940
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.
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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: 2010-09-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070226000201 | I | Physical Therapist In Private Practice | GA | TBD |
| I20100907000991 | I | Physical Therapist In Private Practice | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,875 | 282 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 312 | 116 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 177 | 79 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 105 | 52 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 97 | 96 | $0 |
Insurance plans in this area (ZIP 31808)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | GA | 97001 | Physical therapy evaluation | 137 | 129 |
| PHYSICAL THERAPY | GA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2141 | 294 |
| PHYSICAL THERAPY | GA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 727 | 158 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | AL | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | AL | |
| Physical Therapist In Private Practice | GA | |
| Sports Medicine, Orthopedic Surgery, Orthopedic Surgery | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | SC | |
| Sports Medicine, Orthopedic Surgery | GA | |
| Occupational Therapist In Private Practice | GA |
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