MRS. MICHELLE THERESA ROY (PT, DPT) – Physical Therapist, NPI 1649512666

MRS. MICHELLE THERESA ROY (PT, DPT) is a healthcare provider. based in Yarmouth, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. MT4100 (ME). The NPI Number for MRS. MICHELLE THERESA ROY (PT, DPT) is 1649512666

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE THERESA ROY (PT, DPT)
NPI
1649512666
Phone
(207) 370-7118
Address
247 PORTLAND ST STE C
Enumeration Date
18 March 2013
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2073707118
Graduation Year
2012 (14 years ago)
PAC ID
9133579246
Group Practice PAC ID
7315397429
Professional Enrollment ID
I20240102000564
Address ID
ME040960000YA350AX1XXX301

Contacts

Secure Messaging
michelle@crossfitbeacon.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

Provider Addresses for MRS. MICHELLE THERESA ROY (PT, DPT)

  • 247 PORTLAND ST STE C

    YARMOUTH, ME 040968162

    Phone: (207) 370-7118

    Fax: (207) 422-7178

    Type: Mailing

  • 350A ROUTE 1

    STE 1B

    YARMOUTH, ME 04096

    Phone: (207) 370-7118

    Fax: (207) 422-7178

    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: 2024-01-02

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
I20240102000564IPhysical Therapist In Private PracticeMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04096)

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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: 7315397429View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

What NPI should I save for MRS. MICHELLE THERESA ROY (PT, DPT)?
Save NPI 1649512666 if you need a stable reference for MRS. MICHELLE THERESA ROY (PT, DPT).
Is MRS. MICHELLE THERESA ROY (PT, DPT)'s NPI currently valid?
The extract we use shows MRS. MICHELLE THERESA ROY (PT, DPT) as active.
What kind of provider is MRS. MICHELLE THERESA ROY (PT, DPT)?
The page reflects Physical Therapist for MRS. MICHELLE THERESA ROY (PT, DPT). Clinical services aligned with this taxonomy classification.
Does MRS. MICHELLE THERESA ROY (PT, DPT) practice in Maine?
You will see Yarmouth, Maine on file for MRS. MICHELLE THERESA ROY (PT, DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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