DR. ANTHONY O'NEILL (PT, RDN, LMT) – Physical Therapist, NPI 1578167904

DR. ANTHONY O'NEILL (PT, RDN, LMT) is a healthcare provider. based in Evans, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, RDN, LMT. They hold a License No. LD004776 (GA). The NPI Number for DR. ANTHONY O'NEILL (PT, RDN, LMT) is 1578167904

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY O'NEILL (PT, RDN, LMT)
NPI
1578167904
Phone
(706) 414-2551
Address
513 FAIRFIELD WAY
Enumeration Date
25 November 2020
Last Update Date
25 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9255228000
Graduation Year
2020 (6 years ago)
PAC ID
0941796874
Group Practice PAC ID
2769585520
Professional Enrollment ID
I20251230003909
Address ID
CA945318689AN5161XWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:5State licenses:3Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. ANTHONY O'NEILL (PT, RDN, LMT)

  • 513 FAIRFIELD WAY

    EVANS, GA 308093619

    Phone: (706) 414-2551

    Type: Mailing

  • 7840 OLD REDWOOD HWY

    COTATI, CA 949315106

    Phone: (707) 795-1636

    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: 2025-12-30

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
I20251230003909IPhysical Therapist In Private PracticeCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30809)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769585520View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Is DR. ANTHONY O'NEILL (PT, RDN, LMT) listed with a National Provider Identifier?
Yes — DR. ANTHONY O'NEILL (PT, RDN, LMT) has NPI 1578167904 on file in the registry.
Would DR. ANTHONY O'NEILL (PT, RDN, LMT) appear as active to a payer?
You can treat DR. ANTHONY O'NEILL (PT, RDN, LMT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. ANTHONY O'NEILL (PT, RDN, LMT)'s focus?
For DR. ANTHONY O'NEILL (PT, RDN, LMT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DR. ANTHONY O'NEILL (PT, RDN, LMT) associated with Evans?
Public fields place DR. ANTHONY O'NEILL (PT, RDN, LMT) around Evans, Georgia. Always confirm the exact site before visiting.
Does DR. ANTHONY O'NEILL (PT, RDN, LMT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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