Individual provider Active NPI

Lens Moise

  • Physical Therapist
  • Mableton, GA
National Provider Identifier
1356025076
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016914 Issued in GA
Practice address
1025 Veterans Memorial Hwy SE Ste 640
Mableton, GA 30126-7711
Phone
(770) 999-1961
NPI assigned
Jun 13, 2023
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 PTT40316 FL
Physical Therapist 225100000X PT016914 GA Primary

Addresses

Primary practice location

1025 Veterans Memorial Hwy SE Ste 640
Mableton, GA 30126-7711

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

554 Twin Cities Blvd Ste A
Niceville, FL 32578-1058
Phone (850) 424-7072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820003509 GA Practitioner - Physical Therapist in Private Practice 5597203661 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 Veterans Memorial Hwy SE
Suite 640
Mableton, GA 30126-7711
Phone (770) 999-1961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT40316FLMDPhysical Therapist
PT016914GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Jan 20, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 2, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jul 20, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jul 20, 2024 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jan 20, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2800 Buford Dr
Ste 315
Buford, GA 30519
Phone (678) 450-9933

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

575 Professional Dr
Ste 370
Lawrenceville, GA 30046
Phone (678) 205-5420

1025 Veterans Memorial Hwy SE
Ste 640
Mableton, GA 30126
Phone (770) 999-1961

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1356025076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY SE STE 640",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267711",
            "telephone_number": "770-999-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "554 Twin Cities Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325781058",
            "country_code": "US",
            "telephone_number": "850-424-7072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOISE",
        "first_name": "LENS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT40316",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.