Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lens Moise

Individual provider Physical Therapist · NPI 1356025076

Lens Moise is registered under Physical Therapist in Private Practice in Mableton, Georgia. Qualified in 2023, 3 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
3
Licensed in
FL, GA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1025 Veterans Memorial Hwy SE Ste 640
Mableton, GA 30126-7711
Phone: (770) 999-1961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016914 (GA)
Physical Therapist Taxonomy 225100000X · Licence PTT40316 (FL)

Record details

NPI number1356025076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2023
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Independent Physical Therapy of Georgia LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 529 clinicians in the practice; 12 are shown here.

Other providers in Mableton