PAUL R. SHOWALTER (PT) – Physical Therapist, NPI 1407881402
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAUL R. SHOWALTER (PT)
665 THORNTON WAY
SUITE B
LITHIA SPRINGS, GA 301222602
Phone: (770) 739-5888
Fax: (770) 739-8877
Type: Location
4722 UNICOI PL
DOUGLASVILLE, GA 301358408
Phone:
Type: Mailing
8509 HOSPITAL DR
DOUGLASVILLE, GA 301342414
Phone: (770) 947-5440
Type: Location
9425, Pebble Creek Court, Villa Rica, Douglas County, Georgia, 30180, United States
VILLA RICA, GA 301803377
Phone:
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: 2021-08-05
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 |
|---|---|---|---|---|
| I20210805001280 | 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 30122)
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