MICHAEL ROBERT PETRON (PT, DPT) – Physical Therapist, NPI 1457889396
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for MICHAEL ROBERT PETRON (PT, DPT)
1508 N Thornton Ave Ste 106
Dalton, GA 307208516
Phone: (706) 226-0816
Fax: (706) 226-9584
Type: Location
8823 PRODUCTION LN
OOLTEWAH, TN 373636511
Phone: (423) 238-7217
Fax: (423) 362-8684
Type: Mailing
106, North Thornton Avenue, Dalton, Whitfield County, Georgia, 30720, United States
DALTON, GA 307208516
Phone: (706) 226-0816
Fax: (706) 226-9584
Type: Location
6397 LEE HWY STE 300
CHATTANOOGA, TN 374214915
Phone: (423) 238-3473
Type: Mailing
1394 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 307424010
Phone: (706) 858-0252
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: 2024-04-30
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 |
|---|---|---|---|---|
| I20170628002303 | I | Physical Therapist In Private Practice | GA | TBD |
| I20171127002619 | I | Physical Therapist In Private Practice | TN | TBD |
| I20240430000558 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AZ |
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