MONA LEE GOATLEY (PT) – Physical Therapist, NPI 1083902449

MONA LEE GOATLEY (PT) is a healthcare provider. based in Ortonville, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501002783 (MI). The NPI Number for MONA LEE GOATLEY (PT) is 1083902449

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MONA LEE GOATLEY (PT)
NPI
1083902449
Phone
(248) 417-0156
Address
3560 PERRY LAKE RD
Enumeration Date
19 July 2011
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
8107331200
Graduation Year
1984 (42 years ago)
PAC ID
1052572021
Group Practice PAC ID
6800888124
Professional Enrollment ID
I20120418000680
Address ID
MI485073170FL4466XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MONA LEE GOATLEY (PT)

  • 3560 PERRY LAKE RD

    ORTONVILLE, MI 484628927

    Phone: (248) 417-0156

    Type: Location

  • 4466 W BRISTOL RD

    FLINT, MI 485073170

    Phone: (810) 733-1200

    Fax: (810) 733-0688

    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: 2012-04-18

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
I20120418000680IPhysical Therapist In Private PracticeMITBD

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 minutes21292$0
97530Therapy procedure using functional activities6441$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2617$0
97140Therapy procedure using manual technique, each 15 minutes1813$0
97162Evaluation for physical therapy, typically 30 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48462)

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Provider's Procedures

MONA LEE GOATLEY (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 THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1848119

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: 6800888124View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
-MI
Internal Medicine, Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI
-MI
Physician AssistantMI
-MI

Reviews

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Frequently asked questions

What is the registry number for MONA LEE GOATLEY (PT)?
The registry entry for MONA LEE GOATLEY (PT) shows NPI 1083902449.
Quick check: is MONA LEE GOATLEY (PT) active?
Public NPPES data shows MONA LEE GOATLEY (PT) with an active NPI status right now.
What services align with MONA LEE GOATLEY (PT)'s listing?
MONA LEE GOATLEY (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MONA LEE GOATLEY (PT)?
MONA LEE GOATLEY (PT) shows a connection to Ortonville, Michigan in registry-derived data.
Who maintains MONA LEE GOATLEY (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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