MICHAEL CRAIG MAHAN (PT, DPT) – Physical Therapist, NPI 1063921476
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MICHAEL CRAIG MAHAN (PT, DPT)
1200 CORPORATE DR STE 400
BIRMINGHAM, AL 352425424
Phone:
Type: Mailing
Willamette Street, Woodfield Microhood, College Hill, Eugene, Lane County, Oregon, 97405, United States
EUGENE, OR 974057211
Phone: (541) 844-1728
Type: Location
3000 CENTER GREEN DR STE 300
BOULDER, CO 803012364
Phone: (303) 413-9903
Fax: (303) 413-9907
Type: Location
PO BOX 5718
KALISPELL, MT 599035718
Phone: (406) 756-0134
Fax: (406) 756-2579
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200519001083 | I | Physical Therapist In Private Practice | OR | TBD |
| I20230414001803 | I | Physical Therapist In Private Practice | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 131 | 12 | $0 |
Insurance plans in this area (ZIP 35242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AL | |
| - | WA | |
| - | CA | |
| - | AL | |
| - | NV | |
| - | AL | |
| - | AL |
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