CHRISTINE REDOVIAN (P.T.) – Physical Therapist, NPI 1649340928

CHRISTINE REDOVIAN (P.T.) is a healthcare provider. based in Lilburn, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT004107 (GA). The NPI Number for CHRISTINE REDOVIAN (P.T.) is 1649340928

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE REDOVIAN (P.T.)
NPI
1649340928
Phone
(678) 362-8652
Address
3656 STARWOOD TRL SW
Enumeration Date
8 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4708665540
Graduation Year
1993 (33 years ago)
PAC ID
4688153448
Group Practice PAC ID
4284063835
Professional Enrollment ID
I20260211002525
Address ID
GA300414004CU5610XDRXX400
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

Provider Addresses for CHRISTINE REDOVIAN (P.T.)

  • 3656 STARWOOD TRL SW

    LILBURN, GA 300472448

    Phone: (678) 362-8652

    Fax: (770) 985-3656

    Type: Mailing

  • 4310 JOHNS CREEK PKWY

    100

    SUWANEE, GA 300246091

    Phone: (770) 814-2900

    Fax: (770) 814-7790

    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: 2026-02-11

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
I20260211002525IPhysical 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.

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

Insurance plans in this area (ZIP 30047)

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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: 4284063835View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeGA
-GA
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeGA
-GA
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeAL
Occupational Therapist In Private PracticeGA
Qualified Speech Language PathologistMD
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

How is CHRISTINE REDOVIAN (P.T.) identified in CMS data?
CMS-hosted NPPES data lists CHRISTINE REDOVIAN (P.T.) with NPI 1649340928.
Does CMS list CHRISTINE REDOVIAN (P.T.) as active?
Yes — CHRISTINE REDOVIAN (P.T.) is active in the NPI listing used on this page.
What taxonomy line describes CHRISTINE REDOVIAN (P.T.)?
For research purposes, treat CHRISTINE REDOVIAN (P.T.) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does CHRISTINE REDOVIAN (P.T.) serve?
CHRISTINE REDOVIAN (P.T.)'s listing highlights Lilburn, Georgia; more addresses can appear in NPPES.
Why does CHRISTINE REDOVIAN (P.T.) 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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