Individual provider Active NPI

Andrew Brock, DPT

  • Physical Therapist
  • Buford, GA
National Provider Identifier
1649905779
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016106 Issued in GA
Practice address
5007 B U Bowman Dr Ste 107
Buford, GA 30518-5845
Phone
(470) 780-5100
Fax
(470) 780-5101
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP052760T AR
Physical Therapist 225100000X CP049695T CO
Physical Therapist 225100000X PTL88904 MA
Physical Therapist 225100000X 12582 SC
Physical Therapist 225100000X PT016106 GA Primary

Addresses

Primary practice location

5007 B U Bowman Dr Ste 107
Buford, GA 30518-5845

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

1420 Redi Rd Ste E
Cumming, GA 30040-6142
Phone (770) 982-0102

Other practice location 2

2920 Ronald Reagan Blvd Ste 107
Cumming, GA 30041-7578
Phone (770) 887-0502

Other practice location 3

3451 Ernest W Barrett Pkwy NW Ste 130
Marietta, GA 30064-5035
Phone (770) 422-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220914002941 GA Practitioner - Physical Therapist in Private Practice 1355726142 Reassigns benefits to 3 organizations
I20240806002133 SC Practitioner - Physical Therapist in Private Practice 1355726142 Reassigns benefits to 4 organizations
I20250822000315 MA Practitioner - Physical Therapist in Private Practice 1355726142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

1092 Lexington St
Waltham, MA 02452-7206
Phone (781) 906-8442

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP049695TCOMDPhysical Therapist
PTL88904MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince May 10, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince May 10, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 10, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 9, 2022 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince May 10, 2024 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Sep 23, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 10, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince May 10, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

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

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

1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669

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

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

2500 Dallas Hwy SW
Ste 520
Marietta, GA 30064
Phone (678) 383-1696

3451 Ernest W Barrett Pkwy NW
Ste 130
Marietta, GA 30064
Phone (770) 422-5078

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

1092 Lexington St
Waltham, MA 02452
Phone (781) 906-8442

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3750 Savannah Hwy
Ste G
Johns Island, SC 29455
Phone (843) 718-0221

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Interoperability endpoints

  • Direct secure messaging: abrock@tucsonortho.emadirect.md

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1649905779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 B U BOWMAN DR STE 107",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185845",
            "telephone_number": "470-780-5100",
            "fax_number": "470-780-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Redi Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300406142",
            "country_code": "US",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 Ronald Reagan Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417578",
            "country_code": "US",
            "telephone_number": "770-887-0502",
            "fax_number": "770-887-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 Ernest W Barrett Pkwy NW Ste 130",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300645035",
            "country_code": "US",
            "telephone_number": "770-422-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "CP052760T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP049695T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL88904",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12582",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.