BRIAN DOLL (DPT) – Physical Therapist, NPI 1740779214
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIAN DOLL (DPT)
12912 Coldwater Rd Ste 9B
Fort Wayne, IN 468458870
Phone: (260) 739-0300
Fax: (260) 818-2299
Type: Location
206, Page Avenue, Jackson, Leoni Township, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012418
Phone: (517) 783-6670
Fax: (517) 783-5310
Type: Mailing
Aurelius Road, Holt, Delhi Charter Township, Ingham County, Michigan, 48842, United States
HOLT, MI 48842
Phone: (517) 268-9040
Fax: (517) 268-9042
Type: Location
3073 SHIRLEY DR
JACKSON, MI 492017010
Phone: (517) 990-6210
Fax: (517) 990-6212
Type: Mailing
2797 SPRING ARBOR RD STE B
JACKSON, MI 492033897
Phone: (517) 962-4437
Fax: (517) 962-5634
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: 2018-05-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180522001384 | I | Physical Therapist In Private Practice | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 698 | 38 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 595 | 41 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 304 | 37 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 122 | 15 | $0 |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | 33 | 20 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| - | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | MI | |
| - | MI | |
| Physical Therapist In Private Practice | MI |
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