FOSTER DEARISO (PT, DPT, ATC, LAT) – Physical Therapist, NPI 1427425230

Physical Therapist

FOSTER DEARISO (PT, DPT, ATC, LAT) is a healthcare provider. based in Milledgeville, Georgia. specializing in Physical Therapist. They hold the professional credentials PT, DPT, ATC, LAT. They hold a License No. AT002784 (GA). The NPI Number for FOSTER DEARISO (PT, DPT, ATC, LAT) is 1427425230

Main info

Male

Sole Proprietor

Name

FOSTER DEARISO (PT, DPT, ATC, LAT)

NPI

1427425230

Phone

(478) 445-1787

Address

320 N WAYNE ST

Enumeration Date

27 August 2015

Last Update Date

13 March 2023

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience53

Completeness75

Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for FOSTER DEARISO (PT, DPT, ATC, LAT)

320 N WAYNE ST
MILLEDGEVILLE, GA 310612857
Phone: (478) 445-1787
Type: Mailing
251 S CLARKE ST
MILLEDGEVILLE, GA 31061
Phone: (478) 445-5004
Type: Location
1955 NOCTURNE DR UNIT 3410
ALPHARETTA, GA 300094830
Phone: (478) 696-2483
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.

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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.

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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 31061)

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Reviews

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Frequently asked questions

How is FOSTER DEARISO (PT, DPT, ATC, LAT) identified in CMS data?

CMS-hosted NPPES data lists FOSTER DEARISO (PT, DPT, ATC, LAT) with NPI 1427425230.

Does CMS list FOSTER DEARISO (PT, DPT, ATC, LAT) as active?

Yes — FOSTER DEARISO (PT, DPT, ATC, LAT) is active in the NPI listing used on this page.

What is FOSTER DEARISO (PT, DPT, ATC, LAT)'s primary classification?

Physical Therapist is the headline specialty for FOSTER DEARISO (PT, DPT, ATC, LAT) here. Clinical services aligned with this taxonomy classification.

Where is FOSTER DEARISO (PT, DPT, ATC, LAT) based?

FOSTER DEARISO (PT, DPT, ATC, LAT) is tied to Milledgeville, Georgia in the data we show; additional addresses may exist on the full record.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.