LARA E BETZ (PT) – Physical Therapist, NPI 1205832599
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 LARA E BETZ (PT)
116 HICKS DR SE
ROME, GA 301616064
Phone: (706) 291-1780
Fax: (706) 291-1782
Type: Location
13423 Highway 27 Ste A
Trion, GA 307531556
Phone: (706) 696-0505
Type: Location
106 Pearl Dr Ste 104
LA Fayette, GA 307287510
Phone: (706) 638-3880
Type: Location
116 Hicks Dr SE
Rome, GA 301616064
Phone: (706) 291-1780
Fax: (706) 291-1782
Type: Location
504, County Highway 9R, Rome, Essex County, New York, 12912, United States
ROME, GA 301620504
Phone: (706) 291-1780
Fax: (706) 291-1782
Type: Mailing
1711 MARTHA BERRY BLVD NW
ROME, GA 301651623
Phone: (706) 528-4207
Type: Location
12415 N Main Street
Trenton, GA 307523075
Phone: (706) 657-2700
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: 2005-12-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051205000313 | I | Physical Therapist In Private Practice | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30161)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | GA | |
| - | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | GA | |
| - | GA | |
| Physical Therapist In Private Practice | TN |
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