MARILOU HAREN (PT) – Physical Therapist, NPI 1881642411

MARILOU HAREN (PT) is a healthcare provider. based in Belleville, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 13635 (TN). The NPI Number for MARILOU HAREN (PT) is 1881642411

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MARILOU HAREN (PT)
NPI
1881642411
Phone
(618) 939-3400
Address
109 AUTUMN LN
Enumeration Date
5 May 2006
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6628931933
Graduation Year
1994 (32 years ago)
PAC ID
5496989915
Group Practice PAC ID
3375454648
Professional Enrollment ID
I20220329002146
Address ID
MS386541622OL8110XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

769 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MS

Provider Addresses for MARILOU HAREN (PT)

  • 109 AUTUMN LN

    BELLEVILLE, IL 622231903

    Phone: (618) 939-3400

    Fax: (618) 939-3429

    Type: Mailing

  • 8110 Camp Creek Rd Ste 106

    Olive Branch, MS 386541622

    Phone: (662) 893-1933

    Type: Location

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 238-7217

    Type: Mailing

  • 5226 AIRLINE RD STE 131

    ARLINGTON, TN 380029939

    Phone: (901) 441-7997

    Type: Location

  • 6600 STAGE RD STE 129

    BARTLETT, TN 381343838

    Phone:

    Type: Mailing

  • 5039 PARK AVE STE 102

    MEMPHIS, TN 381175731

    Phone: (901) 818-9746

    Type: Location

  • Market at Illinois Route 3, North Market Street, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IL 622981074

    Phone: (618) 939-3400

    Fax: (618) 939-3429

    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: 2022-03-29

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
I20211229001879IPhysical Therapist In Private PracticeTNTBD
I20220329002146IPhysical Therapist In Private PracticeMSTBD

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 minutes1511$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1211$0
97140Therapy procedure using manual technique, each 15 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 62223)

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Provider's Procedures

MARILOU HAREN (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 THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes62239

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: 3375454648View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MARILOU HAREN (PT)?
Save NPI 1881642411 if you need a stable reference for MARILOU HAREN (PT).
Does this profile mean MARILOU HAREN (PT) is currently active?
Yes — MARILOU HAREN (PT) appears active in the national provider directory.
Does MARILOU HAREN (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MARILOU HAREN (PT). Clinical services aligned with this taxonomy classification.
Does MARILOU HAREN (PT) practice in Illinois?
You will see Belleville, Illinois on file for MARILOU HAREN (PT) alongside any extra practice locations.
How can I contact MARILOU HAREN (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.