DR. BRENT HULL (PT DPT) – Physical Therapist, NPI 1609394659

DR. BRENT HULL (PT DPT) is a healthcare provider. based in Traverse city, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT DPT. They hold a License No. 5501018346 (MI). The NPI Number for DR. BRENT HULL (PT DPT) is 1609394659

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT HULL (PT DPT)
NPI
1609394659
Phone
(231) 421-5805
Address
4177 VILLAGE PARK DR
Enumeration Date
30 August 2017
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2314215805
Graduation Year
2017 (9 years ago)
PAC ID
3779856752
Group Practice PAC ID
0042484560
Professional Enrollment ID
I20170913003508
Address ID
MI496857237TR4177XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. BRENT HULL (PT DPT)

  • 4177 VILLAGE PARK DR

    TRAVERSE CITY, MI 496857237

    Phone: (231) 421-5805

    Fax: (231) 421-5308

    Type: Mailing

  • West Front Street, Traverse City, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496848104

    Phone: (231) 421-9277

    Fax: (231) 421-8447

    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: 2017-09-13

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
I20170913003508IPhysical 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
97530Therapy procedure using functional activities46134$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19733$0
97140Therapy procedure using manual technique, each 15 minutes16426$0
97161Evaluation for physical therapy, typically 20 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 49685)

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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: 0042484560View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for DR. BRENT HULL (PT DPT)?
Save NPI 1609394659 if you need a stable reference for DR. BRENT HULL (PT DPT).
Is DR. BRENT HULL (PT DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. BRENT HULL (PT DPT) work in?
You can think of DR. BRENT HULL (PT DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DR. BRENT HULL (PT DPT)'s primary listing?
We display Traverse City, Michigan because that is what the record indicates for DR. BRENT HULL (PT DPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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