MICHELLE JANE MAILLOUX (PT, DPT) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1316547201

MICHELLE JANE MAILLOUX (PT, DPT) is a healthcare provider. based in Lowell, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 25187 (MA). The NPI Number for MICHELLE JANE MAILLOUX (PT, DPT) is 1316547201

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE JANE MAILLOUX (PT, DPT)
NPI
1316547201
Phone
(978) 761-5322
Address
41 Briar Ave
Enumeration Date
29 October 2020
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032530924
Graduation Year
2020 (6 years ago)
PAC ID
9638610892
Group Practice PAC ID
0042116279
Professional Enrollment ID
I20240916002715
Address ID
OR972137000PO8028XBXXX400
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

2,882 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for MICHELLE JANE MAILLOUX (PT, DPT)

  • 41 Briar Ave

    Lowell, MA 018521641

    Phone: (978) 761-5322

    Type: Location

  • 41 BRIAR AVE

    LOWELL, MA 018521641

    Phone: (978) 761-5322

    Type: Mailing

  • 484 MAIN ST STE 600

    WORCESTER, MA 016081881

    Phone: (800) 244-2756

    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: 2024-09-16

PECOS data refreshed: 2026-06-15

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
I20240916002715IPhysical Therapist In Private PracticeORTBD

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 01852)

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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: 0042116279View full group profile
NameSpecialtyState
-OR
-OR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What number should I use to identify MICHELLE JANE MAILLOUX (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1316547201 for MICHELLE JANE MAILLOUX (PT, DPT).
Should I treat MICHELLE JANE MAILLOUX (PT, DPT) as an active provider?
Patients and plans typically see MICHELLE JANE MAILLOUX (PT, DPT) as active in the national extract.
What type of care does MICHELLE JANE MAILLOUX (PT, DPT) provide?
MICHELLE JANE MAILLOUX (PT, DPT)'s profile centers on Sports Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Is MICHELLE JANE MAILLOUX (PT, DPT) tied to Lowell, Massachusetts?
If you are local to Lowell, Massachusetts, MICHELLE JANE MAILLOUX (PT, DPT) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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