MARY LOU CARPENTER (PT) – Physical Therapist, NPI 1861546723

MARY LOU CARPENTER (PT) is a healthcare provider. based in San pedro, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT12959 (CA). The NPI Number for MARY LOU CARPENTER (PT) is 1861546723

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MARY LOU CARPENTER (PT)
NPI
1861546723
Phone
(310) 832-8817
Address
1416 S WEYMOUTH AVE
Enumeration Date
22 January 2007
Last Update Date
12 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094131630
Graduation Year
1985 (41 years ago)
PAC ID
4587747720
Group Practice PAC ID
7517857899
Professional Enrollment ID
I20211112000799
Address ID
WA992064887SP12012AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MARY LOU CARPENTER (PT)

  • 1416, South Weymouth Avenue, San Pedro, Los Angeles, Los Angeles County, California, 90732, United States

    SAN PEDRO, CA 907323945

    Phone: (310) 832-8817

    Type: Mailing

  • Madison Street, Torrance, Los Angeles County, California, 90503, United States

    SUITE 330, BUILDING 8

    TORRANCE, CA 905054725

    Phone: (310) 665-7141

    Fax: (310) 665-7119

    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: 2021-11-12

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
I20211112000799IPhysical Therapist In Private PracticeWATBD

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 activities55235$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19522$0
97140Therapy procedure using manual technique, each 15 minutes11520$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9416$0
97026Application of low energy heat2612$0
View full utilization report →

Insurance plans in this area (ZIP 90732)

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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: 7517857899View full group profile
NameSpecialtyState
-MO
-WA
Occupational Therapist In Private PracticeWA
-WA
-WA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What identifier follows MARY LOU CARPENTER (PT) across health systems?
The NPI 1861546723 uniquely identifies MARY LOU CARPENTER (PT) in U.S. healthcare data.
Quick check: is MARY LOU CARPENTER (PT) active?
Public NPPES data shows MARY LOU CARPENTER (PT) with an active NPI status right now.
What services align with MARY LOU CARPENTER (PT)'s listing?
MARY LOU CARPENTER (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MARY LOU CARPENTER (PT)?
The directory associates MARY LOU CARPENTER (PT) with San Pedro, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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