Warner Brock, P.T.,CMDT, MBA, CEAS
NPI 1063450054ActiveIndividual· Physical Therapist· Gainesville, GA
Physical Therapist (P.T.,CMDT, MBA, CEAS) in Gainesville, Georgia, trained at Medical College of Georgia School of Medicine (class of 1988). Medicare paid $78,104 for services to 82 patients in 2024.
Overview
| NPI | 1063450054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T.,CMDT, MBA, CEAS |
| Sole proprietor | No |
| NPI issued | Jun 3, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2651 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 4,208 across 12 procedure codes |
| Paid by Medicare | $78,104 |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Physical Therapist In Private Practice |
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All 125 physical therapists in Gainesville · All physical therapists in Georgia