LANCE GROSS (PT) – Physical Therapist, NPI 1649397076

LANCE GROSS (PT) is a healthcare provider. based in Mountain home, Arkansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT1939 (AR). The NPI Number for LANCE GROSS (PT) is 1649397076

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
LANCE GROSS (PT)
NPI
1649397076
Phone
(870) 404-5299
Address
PO BOX 2398
Enumeration Date
22 March 2007
Last Update Date
9 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8704045299
Graduation Year
1996 (30 years ago)
PAC ID
3779851050
Group Practice PAC ID
5991072050
Professional Enrollment ID
I20170608002468
Address ID
AR726533421MO715XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

835 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AR

Provider Addresses for LANCE GROSS (PT)

  • PO BOX 2398

    MOUNTAIN HOME, AR 726542398

    Phone: (870) 404-5299

    Type: Mailing

  • 347 HIGHWAY 62 E

    MOUNTAIN HOME, AR 726533655

    Phone: (870) 701-5089

    Fax: (870) 277-0896

    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: 2017-06-08

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
I20170608002468IPhysical 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
97530Therapy procedure using functional activities80940$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes62940$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42725$0
97116Therapy procedure for walking training, each 15 minutes7426$0
97161Evaluation for physical therapy, typically 20 minutes4138$0
View full utilization report →

Insurance plans in this area (ZIP 72654)

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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: 5991072050View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAL
Occupational Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR
Occupational Therapist In Private PracticeAR

Reviews

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Frequently asked questions

What is the standard ID for LANCE GROSS (PT) in the U.S.?
In the U.S., LANCE GROSS (PT) is identified by NPI 1649397076.
Does the public listing show LANCE GROSS (PT) as active?
LANCE GROSS (PT)'s NPI record reflects an active status in NPPES.
What services align with LANCE GROSS (PT)'s listing?
LANCE GROSS (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to LANCE GROSS (PT)?
The directory associates LANCE GROSS (PT) with Mountain Home, Arkansas. Check all listed addresses for suites or satellite offices.
Who maintains LANCE GROSS (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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