DR. NEIL JACOB HALTOM (PT, DPT) – Clinical Electrophysiology Physical Therapist, NPI 1306493812
Clinical Electrophysiology Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for DR. NEIL JACOB HALTOM (PT, DPT)
310 DURAN DR
SHELBYVILLE, IN 461761986
Phone: (317) 421-0244
Fax: (317) 421-0245
Type: Location
2336 WISTERIA DR STE 420
SNELLVILLE, GA 300786160
Phone: (404) 590-5366
Fax: (770) 982-0015
Type: Mailing
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2222
Fax: (630) 759-9510
Type: Mailing
140 Johnny Mercer Blvd Ste 10A
Savannah, GA 314102169
Phone: (470) 809-1581
Type: Location
1095 Million Dollar Hwy
Saint Marys, PA 158572726
Phone: (412) 787-3293
Type: Location
4372 Route 6
Kane, PA 167353060
Phone: (412) 787-3293
Type: Location
116 Interstate Pkwy
Bradford, PA 167011036
Phone: (412) 787-3293
Type: Location
4216 Washington Rd Ste 2
Evans, GA 308094717
Phone: (470) 809-1581
Type: Location
1000 Hillcrest Pkwy
Dublin, GA 310214208
Phone: (470) 809-1581
Type: Location
300 Jones Ave
Waynesboro, GA 308301509
Phone: (470) 809-1581
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: 2021-04-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210405001918 | I | Physical Therapist In Private Practice | GA | TBD |
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.
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 46176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| Internal Medicine, Interventional Radiology, Diagnostic Radiology | NE | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Diagnostic Radiology | GA | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | GA | |
| - | GA |
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