CRYSTAL CHANTEL EVERETT (PT, DPT) – Physical Therapist, NPI 1417265919
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CRYSTAL CHANTEL EVERETT (PT, DPT)
1332 S ZACK HINTON PKWY
MCDONOUGH, GA 302533354
Phone: (770) 898-5401
Fax: (770) 898-5517
Type: Mailing
1025 VETERANS MEMORIAL HWY SE STE 640
MABLETON, GA 301267711
Phone: (770) 999-1961
Type: Location
1820 Highway 20 SE Ste 160
Conyers, GA 300132080
Phone: (770) 929-8872
Fax: (770) 929-8890
Type: Location
1332 S Zack Hinton Pkwy
McDonough, GA 302533354
Phone: (770) 898-5401
Fax: (770) 898-5517
Type: Location
1820 HIGHWAY 20 SE STE 160
CONYERS, GA 300132080
Phone: (770) 929-8872
Fax: (770) 929-8890
Type: Location
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (866) 518-0283
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: 2023-03-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200325002874 | I | Physical Therapist In Private Practice | VA | TBD |
| I20200528000434 | I | Physical Therapist In Private Practice | GA | TBD |
| I20230322001891 | I | Physical Therapist In Private Practice | DC | 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 |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 388 | 81 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 375 | 73 | $0 |
| 97530 | Therapy procedure using functional activities | 356 | 75 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 110 | 34 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 26 | 24 | $0 |
Insurance plans in this area (ZIP 30253)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| - | GA | |
| - | GA | |
| Physical Therapist In Private Practice | GA | |
| - | GA | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | SC | |
| Physical Therapist In Private Practice | SC | |
| Physical Therapist In Private Practice | SC |
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