GLENDORA L HURST (DPT) – Physical Therapist, NPI 1649824012

GLENDORA L HURST (DPT) is a healthcare provider. based in Conyers, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 008353 (GA). The NPI Number for GLENDORA L HURST (DPT) is 1649824012

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
GLENDORA L HURST (DPT)
NPI
1649824012
Phone
(770) 785-7669
Address
875 FLAT SHOALS RD SE
Enumeration Date
24 July 2019
Last Update Date
24 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708920273
Graduation Year
1991 (35 years ago)
PAC ID
9830421692
Group Practice PAC ID
8729397617
Professional Enrollment ID
I20191028001791
Address ID
GA302817237ST135XXPLXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for GLENDORA L HURST (DPT)

  • 875, Flat Shoals Road Southeast, Conyers, Rockdale County, Georgia, 30013, United States

    CONYERS, GA 300946638

    Phone: (770) 785-7669

    Type: Location

  • 616, Trees Of Avalon Parkway, McDonough, Henry County, Georgia, 30253, United States

    MCDONOUGH, GA 302537602

    Phone:

    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: 2019-10-28

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
I20191028001791IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11347$0
97530Therapy procedure using functional activities10340$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7133$0
97150Therapy procedure in a group setting6636$0
97140Therapy procedure using manual technique, each 15 minutes4723$0
View full utilization report →

Insurance plans in this area (ZIP 30094)

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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: 8729397617View full group profile
NameSpecialtyState
Orthopedic Surgery, Sports MedicineGA
Physician AssistantGA
Physical Therapist In Private PracticeGA
-GA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeME
-GA
Physical Medicine And Rehabilitation, Pain ManagementPA

Reviews

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Frequently asked questions

What NPI should I save for GLENDORA L HURST (DPT)?
Save NPI 1649824012 if you need a stable reference for GLENDORA L HURST (DPT).
Is GLENDORA L HURST (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does GLENDORA L HURST (DPT) treat or focus on?
Patients typically see GLENDORA L HURST (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for GLENDORA L HURST (DPT)?
We surface Conyers, Georgia for GLENDORA L HURST (DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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