Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Landen Brock, PT, DPT

Individual provider Physical Therapist · NPI 1356027973

Landen Brock, PT, DPT is a Physical Therapist in Private Practice in Tucker, Georgia. Graduated from Emory University School of Medicine in 2023, 3 years ago. Practices with Agile Physical Therapy, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2138 Dillard Xing
Tucker, GA 30084-5878
Phone: (205) 480-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTO16664 (GA)

Record details

NPI number1356027973
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Agile Physical Therapy, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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