Individual provider Active NPI

Brian E Prell, PT

  • Physical Therapist
  • Watkinsville, GA
National Provider Identifier
1164501367
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007432 Issued in GA
Practice address
3651 Mars Hill Road
Suite 2900
Watkinsville, GA 30677-5985
Phone
(678) 936-0273
Fax
(706) 395-8759
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT007432 GA Primary

Addresses

Primary practice location

3651 Mars Hill Road
Suite 2900
Watkinsville, GA 30677-5985

Mailing address

2230 Harperfield Ter
Bogart, GA 30622-2512
Phone (678) 316-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000260 GA Practitioner - Physical Therapist in Private Practice 0143384636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3651 Mars Hill Rd
Suite 2900
Watkinsville, GA 30677-5905
Phone (678) 936-0273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007432GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Prell Integrative Physical Therapy LLC Physical Therapist CurrentSince Nov 2, 2023 Accepting new patients
Southern Hope Therapy Associates LLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

123 Harmony Xing
#5
Eatonton, GA 31024
Phone (706) 454-1811

117 Harmony Xing
Ste 4
Eatonton, GA 31024
Phone (678) 936-0273

415 Town Park Blvd
Evans, GA 30809
Phone (706) 690-4372

3651 Mars Hill Rd
Ste 2900
Watkinsville, GA 30677
Phone (678) 936-0273

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1164501367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 HARPERFIELD TER",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222512",
            "telephone_number": "678-316-3274",
            "fax_number": "706-395-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 MARS HILL ROAD",
            "address_2": "SUITE 2900",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775985",
            "telephone_number": "678-936-0273",
            "fax_number": "706-395-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRELL",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.