MR. PATRICK STEPHEN LALLY (PT, DPT, ATC) – Physical Therapist, NPI 1013087543
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ
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Provider Addresses for MR. PATRICK STEPHEN LALLY (PT, DPT, ATC)
Green Planet Insurance, 706, East Bell Road, The Town Square, Phoenix, Maricopa County, Arizona, 85022, United States
STE 212
PHOENIX, AZ 850226640
Phone: (602) 795-8441
Fax: (602) 795-8447
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2223
Fax: (630) 759-9510
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.
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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: 2009-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20091105000395 | I | Physical Therapist In Private Practice | AZ | 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 |
|---|---|---|---|---|
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,247 | 89 | $0 |
| 97530 | Therapy procedure using functional activities | 1,058 | 91 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 628 | 83 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 477 | 70 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 32 | 31 | $0 |
Insurance plans in this area (ZIP 85022)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | AZ | 97001 | Physical therapy evaluation | 40 | 39 |
| PHYSICAL THERAPY | AZ | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 272 | 40 |
| PHYSICAL THERAPY | AZ | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 886 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | WI | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | MN | |
| - | CA | |
| - | AL | |
| - | IL | |
| Physical Therapist In Private Practice | IL |
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