Individual provider Active NPI

Britney Leigh Mobley, PT

  • Physical Therapist
  • Moultrie, GA
National Provider Identifier
1205004165
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009266 Issued in GA
Practice address
27 2ND Ave SE
Moultrie, GA 31768-4757
Phone
(229) 616-9921
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009266 GA Primary

Addresses

Primary practice location

27 2ND Ave SE
Moultrie, GA 31768-4757

Mailing address

8259 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 365-6560

Other practice location 1

1601 Fair Rd
Suite 100
Statesboro, GA 30458-1698
Phone (912) 681-7907

Other names 1

  • Britney Leigh Wetherington Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230901001690 GA Practitioner - Physical Therapist in Private Practice 9032283783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perform Physical Therapy and Wellness LLCGroup PAC ID 5092177980, 2 clinicians

Practice addresses (Care Compare)

27 2ND Ave SE
Moultrie, GA 31768-4757
Phone (229) 616-9921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009266GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perform Physical Therapy & Wellness LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Cotton Ridge Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

27 2nd Ave SE
Moultrie, GA 31768
Phone (229) 616-9921

Organizations & group practices 2

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1205004165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878",
            "telephone_number": "219-365-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 2ND AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684757",
            "telephone_number": "229-616-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Fair Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304581698",
            "country_code": "US",
            "telephone_number": "912-681-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "BRITNEY",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITNEY",
            "last_name": "WETHERINGTON",
            "middle_name": "LEIGH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.