DANIEL NISBET – Physical Therapist, NPI 1063029205

DANIEL NISBET is a healthcare provider. based in Herrin, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 008070 (KY). The NPI Number for DANIEL NISBET is 1063029205

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL NISBET
NPI
1063029205
Phone
(618) 997-6800
Address
510 LINCOLN DR
Enumeration Date
30 September 2020
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2703955588
Graduation Year
2020 (6 years ago)
PAC ID
7719392430
Group Practice PAC ID
2062326309
Professional Enrollment ID
I20210210002048
Address ID
KY420298455CA4050X62XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for DANIEL NISBET

  • 510 LINCOLN DR

    HERRIN, IL 629486334

    Phone: (618) 997-6800

    Fax: (618) 997-1187

    Type: Mailing

  • 200 CLINT HILL BLVD

    PADUCAH, KY 420016768

    Phone: (270) 442-9461

    Fax: (270) 450-7085

    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: 2021-02-10

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
I20210210002048IPhysical Therapist In Private PracticeKYTBD

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 minutes1,93975$0
97140Therapy procedure using manual technique, each 15 minutes24929$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24216$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care23639$0
97161Evaluation for physical therapy, typically 20 minutes6258$0
View full utilization report →

Insurance plans in this area (ZIP 62948)

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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: 2062326309View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

Can I use this page to confirm DANIEL NISBET's NPI?
Yes. DANIEL NISBET is listed with NPI 1063029205 in the public NPI dataset.
Is DANIEL NISBET listed as active for patients and plans?
The listing shows DANIEL NISBET as active in the NPI system.
What taxonomy line describes DANIEL NISBET?
For research purposes, treat DANIEL NISBET as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does DANIEL NISBET list a practice location?
Patients near Herrin, Illinois may find DANIEL NISBET in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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