LANCE T CROGHAN (PT, ATC) – Physical Therapist, NPI 1033795489

LANCE T CROGHAN (PT, ATC) is a healthcare provider. based in Elizabethtown, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, ATC. They hold a License No. 002425 (KY). The NPI Number for LANCE T CROGHAN (PT, ATC) is 1033795489

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
LANCE T CROGHAN (PT, ATC)
NPI
1033795489
Phone
(270) 234-1569
Address
1222 WOODLAND DR
Enumeration Date
23 March 2021
Last Update Date
23 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2702341569
Graduation Year
1993 (33 years ago)
PAC ID
7517879281
Group Practice PAC ID
4880591270
Professional Enrollment ID
I20210415002894
Address ID
KY427012710EL1222XDRXX300
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

1,253 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for LANCE T CROGHAN (PT, ATC)

  • 1222 WOODLAND DR

    ELIZABETHTOWN, KY 427012710

    Phone: (270) 234-1569

    Type: Location

  • 548 LAVISTA DR

    RINEYVILLE, KY 401629424

    Phone: (270) 307-3824

    Type: Mailing

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: 2021-04-15

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
I20210415002894IPhysical 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 minutes1,756249$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,288239$0
97140Therapy procedure using manual technique, each 15 minutes896183$0
97116Therapy procedure for walking training, each 15 minutes36473$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care25876$0
View full utilization report →

Insurance plans in this area (ZIP 42701)

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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: 4880591270View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

What unique ID ties claims to LANCE T CROGHAN (PT, ATC)?
NPI 1033795489 is assigned to LANCE T CROGHAN (PT, ATC) under the national enumeration system.
Is LANCE T CROGHAN (PT, ATC) active in the national directory?
LANCE T CROGHAN (PT, ATC)'s public NPI profile is in an active state.
What does LANCE T CROGHAN (PT, ATC) treat or focus on?
Patients typically see LANCE T CROGHAN (PT, ATC) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does LANCE T CROGHAN (PT, ATC) practice in Kentucky?
You will see Elizabethtown, Kentucky on file for LANCE T CROGHAN (PT, ATC) alongside any extra practice locations.
Is LANCE T CROGHAN (PT, ATC) a real provider?
This page reflects official NPPES data for NPI 1033795489. Always confirm identity and privileges with the practice and licensing boards.

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