REDDICK RAY MATULAC TERRE PT
NPI 1184464653
Physical Therapist in Fayetteville, GA

Active since May 30, 2024Accepts Medicare Assignment
1275 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214(770) 460-8609 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About Reddick Ray Matulac Terre Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDDICK RAY MATULAC TERRE PT (NPI 1184464653) is an individual physical therapist in Fayetteville, Georgia, licensed in Georgia (PT017576) and active in the NPI registry since May 2024. He maintains a secondary practice location in Sunrise and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184464653
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameREDDICK RAY MATULAC TERRECredential: PT
Location Address1275 HIGHWAY 54 W STE 200Fayetteville, GA 30214-4538
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211 · (630) 296-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 30, 2024
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1184464653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in GA · PT017576✔ Licensed in CT · 12114
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1275 HIGHWAY 54 W STE 200, Fayetteville, GA 30214

Secondary Practice Location 1

Location 11580 Sawgrass Corporate Pkwy Ste 320Sunrise, FL 33323-2859 · Phone (470) 629-1818

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reddick Ray Matulac Terre Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274063060
PECOS Enrollment IDI20250210000147

Medicare Billing Reassignments

3

Medicare enrollment records show Reddick Ray Terre reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1275 HIGHWAY 54 W STE 200
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 788 clinicians in this Medicare group
Physical Therapist
1280 HIGHWAY 74 S, STE 210
Peachtree City, GA 30269
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Independent Physical Therapy Of Georgia, LLC
  • 1,061 clinicians in this Medicare group
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Georgia enrollment
  • 521 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Specialist/Technologist (Athletic Trainer)
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reddick Ray Terre's NPI number?

The NPI number for Reddick Ray Terre is 1184464653. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Reddick Ray Terre located?

Reddick Ray Terre practices at 1275 Highway 54 W Ste 200, Fayetteville, GA 30214. The listed phone number is (770) 460-8609.

What is Reddick Ray Terre's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Reddick Ray Terre enrolled in Medicare?

Yes. Reddick Ray Terre is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Reddick Ray Terre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reddick Ray Terre reassigns Medicare benefits to 3 organizations: Benchmark Physical Therapy, Inc (Fayetteville, GA), Independent Physical Therapy Of Ga, LLC (Peachtree City, GA) and Agilitas Usa Inc (Hixson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Reddick Ray Terre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reddick Ray Terre accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Reddick Ray Terre as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reddick Ray Terre was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.