DANA MUTH – Physical Therapist, NPI 1235631748

DANA MUTH is a healthcare provider. based in Royal oak, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5501012021 (MI). The NPI Number for DANA MUTH is 1235631748

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DANA MUTH
NPI
1235631748
Phone
Not provided
Address
4949 COOLIDGE HWY
Enumeration Date
1 March 2018
Last Update Date
1 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2004 (22 years ago)
PAC ID
5991282295
Group Practice PAC ID
9032549217
Professional Enrollment ID
I20260116001890
Address ID
MI481088923AN4103XWXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for DANA MUTH

  • 4949, Coolidge Highway, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480731026

    Phone:

    Mailing address matches the actual address.

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: 2026-01-16

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
I20260116001890IPhysical 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.

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

Insurance plans in this area (ZIP 48073)

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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: 9032549217View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the standard ID for DANA MUTH in the U.S.?
In the U.S., DANA MUTH is identified by NPI 1235631748.
Is DANA MUTH's NPI status active today?
Active status means DANA MUTH's NPI record is not deactivated in the public file.
Which specialty label fits DANA MUTH?
NPPES ties DANA MUTH to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DANA MUTH?
DANA MUTH shows a connection to Royal Oak, Michigan in registry-derived data.
Why is information missing for DANA MUTH?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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