ANTHONY FORREST ELLIS (PT) – Physical Therapist, NPI 1528078300

ANTHONY FORREST ELLIS (PT) is a healthcare provider. based in Tifton, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT 001108 (GA). The NPI Number for ANTHONY FORREST ELLIS (PT) is 1528078300

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY FORREST ELLIS (PT)
NPI
1528078300
Phone
(912) 383-0559
Address
PO BOX 2150
Enumeration Date
8 August 2006
Last Update Date
7 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123830559
Graduation Year
1979 (47 years ago)
PAC ID
1153427695
Group Practice PAC ID
8426043753
Professional Enrollment ID
I20120306000569
Address ID
GA315333514DO808XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for ANTHONY FORREST ELLIS (PT)

  • Tifton Post Office, John Howard Way, Tifton, Tift County, Georgia, 31794, United States

    TIFTON, GA 317932150

    Phone: (912) 383-0559

    Fax: (912) 383-0614

    Type: Mailing

  • 808, West Ward Street, Douglas, Coffee County, Georgia, 31533, United States

    DOUGLAS, GA 315333514

    Phone: (912) 383-0559

    Fax: (912) 383-0614

    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: 2012-03-06

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
I20120306000569IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes87540$0
97530Therapy procedure using functional activities44937$0
97116Therapy procedure for walking training, each 15 minutes18216$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12421$0
97163Evaluation for physical therapy, typically 45 minutes3936$0
View full utilization report →

Insurance plans in this area (ZIP 31793)

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Provider's Procedures

ANTHONY FORREST ELLIS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97001Physical therapy evaluation6966

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Frequently asked questions

Can I verify ANTHONY FORREST ELLIS (PT) with an NPI only?
You can start verification with NPI 1528078300 for ANTHONY FORREST ELLIS (PT), then check state licensing separately.
Can I rely on ANTHONY FORREST ELLIS (PT) being an active provider?
As of the registry snapshot, ANTHONY FORREST ELLIS (PT) is marked active.
What taxonomy line describes ANTHONY FORREST ELLIS (PT)?
For research purposes, treat ANTHONY FORREST ELLIS (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ANTHONY FORREST ELLIS (PT) on a map?
Expect Tifton, Georgia as a primary anchor for ANTHONY FORREST ELLIS (PT) unless the record lists multiple sites.
Why does ANTHONY FORREST ELLIS (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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