ROLAND ORVIL IV WEBSTER (DPT) – Physical Therapist, NPI 1881147411

ROLAND ORVIL IV WEBSTER (DPT) is a healthcare provider. based in Loganville, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT012442 (GA). The NPI Number for ROLAND ORVIL IV WEBSTER (DPT) is 1881147411

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ROLAND ORVIL IV WEBSTER (DPT)
NPI
1881147411
Phone
(770) 554-0665
Address
3455 HIGHWAY 81
Enumeration Date
1 August 2016
Last Update Date
1 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702373475
Graduation Year
2016 (10 years ago)
PAC ID
4587959960
Group Practice PAC ID
9335566967
Professional Enrollment ID
I20160824001694
Address ID
GA300435925LA1900XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for ROLAND ORVIL IV WEBSTER (DPT)

  • 3455 HIGHWAY 81

    LOGANVILLE, GA 300529138

    Phone: (770) 554-0665

    Fax: (770) 554-0685

    Type: Mailing

  • Hwy 278 NW, Covington, Newton County, Georgia, 30014, United States

    COVINGTON, GA 300142304

    Phone: (470) 444-1609

    Fax: (470) 444-1613

    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: 2016-08-24

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
I20160824001694IPhysical 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 minutes49615$0
97140Therapy procedure using manual technique, each 15 minutes46113$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33211$0
97162Evaluation for physical therapy, typically 30 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 30052)

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Provider's Procedures

ROLAND ORVIL IV WEBSTER (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20925
PHYSICAL THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes13522

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: 9335566967View full group profile
NameSpecialtyState
Orthopedic SurgeryGA
Orthopedic Surgery, Sports MedicinePA
Physician AssistantGA
Family PracticeTX
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

What number should I use to identify ROLAND ORVIL IV WEBSTER (DPT) for billing?
Administrative and clinical systems typically use NPI 1881147411 for ROLAND ORVIL IV WEBSTER (DPT).
Does the public listing show ROLAND ORVIL IV WEBSTER (DPT) as active?
ROLAND ORVIL IV WEBSTER (DPT)'s NPI record reflects an active status in NPPES.
What does the directory say ROLAND ORVIL IV WEBSTER (DPT) does?
Insurance directories may phrase it differently, but here ROLAND ORVIL IV WEBSTER (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROLAND ORVIL IV WEBSTER (DPT)?
ROLAND ORVIL IV WEBSTER (DPT) is associated with Loganville, Georgia in the same public data insurers reference.
Can I export ROLAND ORVIL IV WEBSTER (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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