CRISTA THORESEN (PT) – Physical Therapist, NPI 1790873651

CRISTA THORESEN (PT) is a healthcare provider. based in East ellijay, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 7312 (GA). The NPI Number for CRISTA THORESEN (PT) is 1790873651

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
CRISTA THORESEN (PT)
NPI
1790873651
Phone
(706) 635-1445
Address
97 HEFNER ST
Enumeration Date
10 October 2006
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7625336292
Graduation Year
2001 (25 years ago)
PAC ID
7911908231
Group Practice PAC ID
8123936796
Professional Enrollment ID
I20070129000518
Address ID
GA305407116EL85XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for CRISTA THORESEN (PT)

  • Hefner Street, East Ellijay, Gilmer County, Georgia, 30539, United States

    SUITE 100

    EAST ELLIJAY, GA 305408268

    Phone: (706) 635-1445

    Type: Mailing

  • 1600 BALLEWTOWN RD

    BLUE RIDGE, GA 305135337

    Phone: (706) 621-5686

    Fax: (706) 621-5689

    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: 2007-01-29

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
I20070129000518IPhysical 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 minutes87319$0
97116Therapy procedure for walking training, each 15 minutes34916$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13111$0
97530Therapy procedure using functional activities7413$0
97161Evaluation for physical therapy, typically 20 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 30540)

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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: 8123936796View full group profile
NameSpecialtyState
Qualified Speech Language PathologistGA
Qualified Speech Language PathologistFL
-GA
Physical Therapist In Private PracticeKY
-GA
Internal MedicineNC
Occupational Therapist In Private PracticeNC
Occupational Therapist In Private PracticeNC
-GA
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Does CRISTA THORESEN (PT) have a public NPI I can cite?
Public records show CRISTA THORESEN (PT) under NPI 1790873651.
Does the public listing show CRISTA THORESEN (PT) as active?
CRISTA THORESEN (PT)'s NPI record reflects an active status in NPPES.
What type of care does CRISTA THORESEN (PT) provide?
CRISTA THORESEN (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit CRISTA THORESEN (PT) in East Ellijay, Georgia?
For routing, start with East Ellijay, Georgia for CRISTA THORESEN (PT), then verify phone and hours locally.
Who maintains CRISTA THORESEN (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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