Unknown Individual – Physical Therapist, NPI 1972609733

Physical Therapist

Unknown Individual is a healthcare provider. based in Duluth, Georgia. specializing in Physical Therapist. They hold a License No. PT007395 (GA). The NPI Number for Unknown Individual is 1972609733

Main info

Organization

Inactive

24 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1972609733

Phone

(404) 425-1100

Address

3870 Pleasant Hill Road

Deactivation Date

26 February 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6785838709

Graduation Year

2002 (24 years ago)

PAC ID

5193755957

Group Practice PAC ID

2961312244

Professional Enrollment ID

I20050822000384

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

3870 Pleasant Hill Road
Suite 1
Duluth, GA 30096
Phone: (404) 425-1100
Fax: (404) 425-1181
Type: Location
6397 LEE HWY STE 300
CHATTANOOGA, TN 374212564
Phone: (423) 238-8907
Fax: (423) 362-8684
Type: Mailing
898, Hampton Road, McDonough, Henry County, Georgia, 30253, United States
MCDONOUGH, GA 302536514
Phone: (678) 583-9954
Fax: (678) 583-8709
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	713	43	$0
97530	Therapy procedure using functional activities	332	45	$0
97140	Therapy procedure using manual technique, each 15 minutes	174	25	$0
97162	Evaluation for physical therapy, typically 30 minutes	39	38	$0

View full utilization report →

Insurance plans in this area (ZIP 30096)

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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: 2961312244View full group profile

Name	Specialty	State
LAURA VAUGHN (PT, MPT)	-	TN
SPENCER EDWARD KASMERE (PT, DPT)	-	GA
ASHLEY M. TINDLE (PT)	-	TN
MRS. LAUREN MASSEY LARKEY (PT)	-	TN
MRS. LORI BROWN PRESSLEY (PT, ATC)	-	TN
NICHOLAS FRANCIS BADER (PT, DPT)	-	AL
SARAH GRACE OSBORNE (OT)	-	TN
KATHERINE LEE GAY (PT, DPT)	-	TN
MATTHEW PAYOM AYERS (PT, DPT)	-	GA
JOSHUA PEREZ (PT, DPT)	-	NV