Venture Physical Therapy West Cobb – Physical Therapist, NPI 1417048885

Venture Physical Therapy West Cobb is a healthcare provider. based in Powder springs, Georgia. specializing in Physical Therapist. The organization holds a License No. PT007058 (GA). The NPI Number for Venture Physical Therapy West Cobb is 1417048885

Main info

Organization
Name
Venture Physical Therapy West Cobb
NPI
1417048885
Phone
(770) 425-2151
Address
5041 DALLAS HWY STE C
Authorized Official
MR. RICHARD DARIN DURELL DIRECTORE PT
Enumeration Date
28 September 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Venture Physical Therapy West Cobb

  • 5041 DALLAS HWY STE C

    BUILDING 1 SUITE C

    POWDER SPRINGS, GA 301276458

    Phone: (770) 425-2151

    Fax: (770) 425-5982

    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: 2003-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (804 days ago).

Enrollment records

1

Earliest due date

2024-03-31

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
O20031106000684OPhysical/Occupational Therapy Group In Private PracticeGA2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 30127)

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Reviews

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Frequently asked questions

Is there an official ID for Venture Physical Therapy West Cobb in U.S. healthcare records?
The official identifier for Venture Physical Therapy West Cobb is NPI 1417048885.
Is Venture Physical Therapy West Cobb still an active registrant?
Venture Physical Therapy West Cobb carries an active NPI according to the public dataset.
What area of care is associated with Venture Physical Therapy West Cobb?
Venture Physical Therapy West Cobb's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Venture Physical Therapy West Cobb?
Travel planning: use Powder Springs, Georgia as the reference point for Venture Physical Therapy West Cobb, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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