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

Lens Moise

Individual provider Physical Therapist · NPI 1356025076

Lens Moise is a 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
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Practice location Address checks out

1025 Veterans Memorial Hwy SE Ste 640
Mableton, GA 30126-7711
Phone: (770) 999-1961
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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
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

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

Other providers in Mableton