LANDRY GARRISON (DPT) – Physical Therapist, NPI 1811787138

LANDRY GARRISON (DPT) is a healthcare provider. based in Douglasville, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT017728 (GA). The NPI Number for LANDRY GARRISON (DPT) is 1811787138

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
LANDRY GARRISON (DPT)
NPI
1811787138
Phone
(770) 947-8177
Address
2983 Chapel Hill Rd Ste 106
Enumeration Date
9 May 2025
Last Update Date
30 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046675001
Graduation Year
2025 (1 year ago)
PAC ID
6406360437
Group Practice PAC ID
8921109067
Professional Enrollment ID
I20250710001267
Address ID
GA301802126VI2000XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for LANDRY GARRISON (DPT)

  • 2983 Chapel Hill Rd Ste 106

    Douglasville, GA 301351767

    Phone: (770) 947-8177

    Type: Location

  • 120 Cunningham Dr Ste F

    Carrollton, GA 301172818

    Phone: (678) 664-1467

    Fax: (678) 664-1483

    Type: Location

  • 500 Nathan Dean Blvd Ste 108

    Dallas, GA 301574912

    Phone: (678) 402-7770

    Fax: (678) 402-6947

    Type: Location

  • 2000 MIRROR LAKE BLVD STE S

    VILLA RICA, GA 301802126

    Phone: (770) 456-7877

    Fax: (770) 456-7880

    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: 2025-07-10

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
I20250710001267IPhysical 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 30135)

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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: 8921109067View full group profile
NameSpecialtyState
-GA
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LANDRY GARRISON (DPT)?
LANDRY GARRISON (DPT) — NPI 1811787138 — is the standard way to identify this listing.
Does the file indicate LANDRY GARRISON (DPT) is practicing under active NPI?
Directory data currently reports LANDRY GARRISON (DPT) as active.
What is LANDRY GARRISON (DPT)'s primary classification?
Physical Therapist is the headline specialty for LANDRY GARRISON (DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect LANDRY GARRISON (DPT) on a map?
Expect Douglasville, Georgia as a primary anchor for LANDRY GARRISON (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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