Active NPI
Britney Leigh Mobley, PT
- Physical Therapist
- Moultrie, GA
National Provider Identifier
1205004165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009266
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT009266 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perform Physical Therapy & Wellness LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Moultrie, GA
- NPI 1851083117
Physical Therapist
-
- Physical Therapist
- Statesboro, GA
- NPI 1013956531
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.