PHYSICAL THERAPY PROS, LLC – Clinical Electrophysiology Physical Therapist, NPI 1609207885
Clinical Electrophysiology Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHYSICAL THERAPY PROS, LLC
2109 N Patterson St
Valdosta, GA 316022990
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
312 Margie Dr # 800
Warner Robins, GA 310888913
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
1805 Vernon Rd Ste A
LaGrange, GA 302403871
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
670 North Ave NW Ste 201
Marietta, GA 300601100
Phone: (470) 809-1581
Fax: (470) 809-1582
Type: Location
304 Jones Ave
Waynesboro, GA 308301509
Phone: (470) 809-1581
Fax: (470) 809-1582
Type: Location
403 Hillcrest Dr Ste A
Easley, SC 296401207
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
3939 Roswell Rd Ste 240
Marietta, GA 300626285
Phone: (470) 809-1581
Fax: (470) 809-1582
Type: Location
3901 National Dr Ste 100
Burtonsville, MD 208661176
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
371 Noah Dr Ste 102
Jasper, GA 301438708
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
1650 Skylyn Dr Ste 380
Spartanburg, SC 293071087
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
10591 Veneto Dr
Fort Myers, FL 339137021
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
3913 Georgetown Rd NW
Cleveland, TN 373121806
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
2336 WISTERIA DR STE 420
SNELLVILLE, GA 300786160
Phone: (404) 590-5366
Fax: (770) 982-0015
Type: Mailing
1544 Route 61 Hwy S Ste 6174
Pottsville, PA 179014208
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
3300 Herons Glen Blvd Ft
Myers, FL 33917
Phone: (470) 809-1581
Fax: (470) 809-1582
Type: Location
2336 Wisteria Dr Ste 420
Snellville, GA 300786160
Phone: (404) 590-5366
Fax: (770) 982-0015
Type: Location
1000 Hillcrest Pkwy
Dublin, GA 310214208
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
55 Cantrell Rd Ste 100
Cleveland, GA 305281083
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
7351 Old Moon Rd
Columbus, GA 319097291
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
1107 Greer St Ste A
Cordele, GA 310151921
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
840 Pine St Ste 880
Macon, GA 312017525
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
4216 Washington Rd Ste 2
Evans, GA 308094717
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
1556 E Forsyth St Ste A
Americus, GA 317093334
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
1430 US Highway 82 W Ste 103
Tifton, GA 317938010
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
775 Poplar Rd Ste 350
Newnan, GA 302658304
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
535 Glynn St S Ste 2008
Fayetteville, GA 302142029
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
3300 Herons Glen Blvd
North Fort Myers, FL 339176719
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
140 JOHNNY MERCER BLVD STE 10A
SAVANNAH, GA 314102169
Phone: (404) 590-5366
Fax: (470) 809-1582
Type: Location
PO BOX 1157
JACKSON, GA 302330024
Phone: (706) 325-6971
Fax: (470) 809-1582
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: 2014-01-21
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 |
|---|---|---|---|---|
| O20140121002013 | O | Physical/Occupational Therapy Group 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 31602)
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Reviews
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