Doctor profile · Federal record
Dr. Revajo Broadwater, PT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Valdosta, GA
- NPI 1023111317
- Accepts Medicare
- 20 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3537 North Crossing Circle
Valdosta, GA 31602
(229) 333-0095
fax (229) 333-0756
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Georgia #1473
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1023111317. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,203
Distinct HCPCS
5
Medicare allowed
$60,045
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,111 | 64 | $22 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 671 | 63 | $29 | |
97530 |
Therapy procedure using functional activities | 241 | 57 | $32 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 112 | 18 | $20 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 68 | 55 | $94 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 517. This provider delivers 4.3× the peer median.Frequently asked questions
What is Dr. Revajo Broadwater's medical specialty?
Dr. Revajo Broadwater practices Physical Therapist in Valdosta, GA.
Where does Dr. Revajo Broadwater practice?
Dr. Revajo Broadwater practices at 3537 North Crossing Circle, Valdosta, GA 31602. Office phone: 2293330095.
What is Dr. Revajo Broadwater's NPI?
Dr. Revajo Broadwater's National Provider Identifier (NPI) is 1023111317, issued by NPPES.
Does Dr. Revajo Broadwater accept Medicare assignment?
Yes. Dr. Revajo Broadwater accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Revajo Broadwater commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.