Individual provider Active NPI

Timothy R Boyd, PT

  • Physical Therapist
  • Lithonia, GA
National Provider Identifier
1356081590
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP030657T Issued in GA
Practice address
6000 Hillandale Dr Ste 145
Lithonia, GA 30058-4860
Phone
(678) 418-8072
Fax
(678) 518-0137
NPI assigned
Mar 29, 2022
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP030657T GA Primary
Physical Therapist 225100000X 11144 LA
Physical Therapist 225100000X 16318 TN
Physical Therapist 225100000X CP049748T TX

Addresses

Primary practice location

6000 Hillandale Dr Ste 145
Lithonia, GA 30058-4860

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (678) 418-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102001574 LA Practitioner - Physical Therapist in Private Practice 8022485119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11144LAMDClinical Social Worker
CP030657TGAMDPhysical Therapist
16318TNMDPhysical Therapist
CP049748TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Physical Therapy, Inc. Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Physical Therapy Clinic of Franklin, Physical Therapist CurrentSince Oct 12, 2022 Accepting new patients
Dekalb Comprehensive Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 20, 2026 Accepting new patients
Dekalb Comprehensive Physical Therapy Limited Partnership PastSince Jul 20, 2026 Accepting new patients

Locations

8650 Minnie Brown Rd
Ste 225
Montgomery, AL 36117

4750 Sherwood Common Blvd
Baton Rouge, LA 70816

1600 Hospital Ave
Franklin, LA 70538
Phone (337) 364-7496

910 Marguerite St
Morgan City, LA 70380
Phone (985) 385-5172

Organizations & group practices 4

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1356081590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HILLANDALE DR STE 145",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584860",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP030657T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11144",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16318",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP049748T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.