LISA GAY HUFFORD – Physical Therapist, NPI 1629299300

LISA GAY HUFFORD is a healthcare provider. based in Bentonville, Arkansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 8173 (CO). The NPI Number for LISA GAY HUFFORD is 1629299300

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
LISA GAY HUFFORD
NPI
1629299300
Phone
(479) 531-7092
Address
2310 NW HARVARD WALK
Enumeration Date
1 May 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792504014
Graduation Year
1994 (32 years ago)
PAC ID
0345514410
Group Practice PAC ID
2466772447
Professional Enrollment ID
I20180406000839
Address ID
AR727124283BE1002XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

835 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AR

Provider Addresses for LISA GAY HUFFORD

  • 2310 NW HARVARD WALK

    BENTONVILLE, AR 727123950

    Phone: (479) 531-7092

    Type: Mailing

  • 1002 WESTPARK DR

    BENTONVILLE, AR 727124173

    Phone: (479) 250-4014

    Type: Location

  • 2660 Vickers Drive

    Colorado Springs, CO 80918

    Phone: (719) 598-7075

    Fax: (719) 277-7217

    Type: Location

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: 2018-04-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180406000839IPhysical Therapist In Private PracticeARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20933$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12026$0
97140Therapy procedure using manual technique, each 15 minutes11631$0
View full utilization report →

Insurance plans in this area (ZIP 72712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466772447View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR

Reviews

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Frequently asked questions

What NPI should I save for LISA GAY HUFFORD?
Save NPI 1629299300 if you need a stable reference for LISA GAY HUFFORD.
Is LISA GAY HUFFORD's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize LISA GAY HUFFORD's specialty in plain language?
Clinically, the directory lists LISA GAY HUFFORD with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA GAY HUFFORD?
The page summarizes Bentonville, Arkansas for LISA GAY HUFFORD; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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