EDEN LLAMAS – Physical Therapist, NPI 1407548225

EDEN LLAMAS is a healthcare provider. based in Georgetown, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 3130612 (TX). The NPI Number for EDEN LLAMAS is 1407548225

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EDEN LLAMAS
NPI
1407548225
Phone
(512) 256-7627
Address
3610 WILLIAMS DR
Enumeration Date
22 May 2023
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5122567627
Graduation Year
2023 (3 years ago)
PAC ID
9830549310
Group Practice PAC ID
7810119591
Professional Enrollment ID
I20231224000070
Address ID
TX786282420GE3610XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for EDEN LLAMAS

  • 3610 WILLIAMS DR

    GEORGETOWN, TX 786282420

    Phone: (512) 256-7627

    Mailing address matches the actual address.

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: 2023-12-24

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
I20231224000070IPhysical Therapist In Private PracticeTXTBD

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 78628)

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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: 7810119591View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTX
-TX
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
-NH
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What identifier follows EDEN LLAMAS across health systems?
The NPI 1407548225 uniquely identifies EDEN LLAMAS in U.S. healthcare data.
Is EDEN LLAMAS currently accepting referrals based on NPI status?
Registry metadata lists EDEN LLAMAS as active.
How should patients interpret EDEN LLAMAS's specialty?
The extract shows Physical Therapist for EDEN LLAMAS. Clinical services aligned with this taxonomy classification.
Is EDEN LLAMAS tied to Georgetown, Texas?
If you are local to Georgetown, Texas, EDEN LLAMAS may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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