MS. MITZI L HARRISON (PHYSICAL THERAPIST) – Physical Therapist, NPI 1790772630

MS. MITZI L HARRISON (PHYSICAL THERAPIST) is a healthcare provider. based in Longmont, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 13219 (CO). The NPI Number for MS. MITZI L HARRISON (PHYSICAL THERAPIST) is 1790772630

Main info

Female
Accepts Medicare Assignment
Name
MS. MITZI L HARRISON (PHYSICAL THERAPIST)
NPI
1790772630
Phone
(720) 829-2564
Address
675 SNOWBERRY ST
Enumeration Date
5 October 2005
Last Update Date
3 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7208450001
Graduation Year
null (2026 years ago)
PAC ID
9537159215
Group Practice PAC ID
8426394107
Professional Enrollment ID
I20150625001974
Address ID
CO803024670BO2299XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,986 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for MS. MITZI L HARRISON (PHYSICAL THERAPIST)

  • 675, Snowberry Street, Longmont, Boulder County, Colorado, 80503, United States

    LONGMONT, CO 805037365

    Phone: (720) 829-2564

    Fax: (720) 204-1748

    Type: Mailing

  • 206, 30th Street, Boulder, Boulder County, Colorado, 80305, United States

    BOULDER, CO 803011026

    Phone: (720) 845-0001

    Fax: (720) 204-1748

    Type: Location

  • 675 Snowberry St

    Longmont, CO 805037365

    Phone: (720) 829-2564

    Type: Location

  • 2750 Broadway St

    Boulder, CO 803043573

    Phone: (303) 440-3034

    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: 2015-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20061208000504IPhysical Therapist In Private PracticeCATBD
I20150625001974IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,40397$0
97530Therapy procedure using functional activities1,11396$0
97164Re-evaluation for physical therapy, typically 20 minutes14476$0
97163Evaluation for physical therapy, typically 45 minutes8071$0
View full utilization report →

Insurance plans in this area (ZIP 80503)

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Provider's Procedures

MS. MITZI L HARRISON (PHYSICAL THERAPIST) 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 THERAPYCO97001Physical therapy evaluation2423
PHYSICAL THERAPYCO97535Self-care or home management training, each 15 minutes3527

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: 8426394107View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMT
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to MS. MITZI L HARRISON (PHYSICAL THERAPIST)?
NPI 1790772630 is assigned to MS. MITZI L HARRISON (PHYSICAL THERAPIST) under the national enumeration system.
Is MS. MITZI L HARRISON (PHYSICAL THERAPIST) currently active in the NPI registry?
CMS-published data lists MS. MITZI L HARRISON (PHYSICAL THERAPIST) as an active registrant.
What does MS. MITZI L HARRISON (PHYSICAL THERAPIST) treat or focus on?
Patients typically see MS. MITZI L HARRISON (PHYSICAL THERAPIST) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. MITZI L HARRISON (PHYSICAL THERAPIST)?
The page summarizes Longmont, Colorado for MS. MITZI L HARRISON (PHYSICAL THERAPIST); expand the address list for detail.
How can I contact MS. MITZI L HARRISON (PHYSICAL THERAPIST)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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