DANE M FARNWORTH (PT) – Physical Therapist, NPI 1023093200

DANE M FARNWORTH (PT) is a healthcare provider. based in San jose, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT 6541 (CO). The NPI Number for DANE M FARNWORTH (PT) is 1023093200

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DANE M FARNWORTH (PT)
NPI
1023093200
Phone
(877) 325-2776
Address
PO BOX 612260
Enumeration Date
12 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195424444
Graduation Year
1998 (28 years ago)
PAC ID
8527087915
Group Practice PAC ID
0547236697
Professional Enrollment ID
I20051115000578
Address ID
CO810082208PU3525XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for DANE M FARNWORTH (PT)

  • Wyndham San José Herradura, Vía 1, Real Cariari, Ulloa, Heredia, Heredia Province, 40104, Costa Rica

    SAN JOSE, CA 951612260

    Phone: (877) 325-2776

    Fax: (408) 945-4011

    Type: Mailing

  • Spaulding Avenue, Hyde Park, Pueblo, Pueblo County, Colorado, 81002, United States

    PUEBLO, CO 810082208

    Phone: (719) 542-4444

    Fax: (719) 543-1990

    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: 2005-11-15

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
I20051115000578IPhysical Therapist In Private PracticeCOTBD

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 minutes2,451193$0
97140Therapy procedure using manual technique, each 15 minutes992164$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes44436$0
97162Evaluation for physical therapy, typically 30 minutes8683$0
97750Test or measurement for functional capacity, each 15 minutes2411$0
View full utilization report →

Insurance plans in this area (ZIP 95161)

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Provider's Procedures

DANE M FARNWORTH (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3825187
PHYSICAL THERAPYCO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1924165

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: 0547236697View full group profile
NameSpecialtyState
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What is the registry number for DANE M FARNWORTH (PT)?
The registry entry for DANE M FARNWORTH (PT) shows NPI 1023093200.
Is DANE M FARNWORTH (PT)'s NPI status active today?
Active status means DANE M FARNWORTH (PT)'s NPI record is not deactivated in the public file.
What type of care does DANE M FARNWORTH (PT) provide?
DANE M FARNWORTH (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to DANE M FARNWORTH (PT)?
The directory associates DANE M FARNWORTH (PT) with San Jose, California. Check all listed addresses for suites or satellite offices.
Why is information missing for DANE M FARNWORTH (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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