LANCE JOSEPH LEVERENZ (DPT) – Physical Therapist, NPI 1457010647

LANCE JOSEPH LEVERENZ (DPT) is a healthcare provider. based in Centralia, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2021021352 (MO). The NPI Number for LANCE JOSEPH LEVERENZ (DPT) is 1457010647

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
LANCE JOSEPH LEVERENZ (DPT)
NPI
1457010647
Phone
(573) 881-9022
Address
424 N FULLENWIDER ST
Enumeration Date
15 December 2021
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736822230
Graduation Year
2021 (5 years ago)
PAC ID
3476944059
Group Practice PAC ID
6507090644
Professional Enrollment ID
I20211216000681
Address ID
MO652401486CE1238XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for LANCE JOSEPH LEVERENZ (DPT)

  • 424 N FULLENWIDER ST

    CENTRALIA, MO 652401022

    Phone: (573) 881-9022

    Type: Mailing

  • 1238 REMINGTON DR.

    CENTRALIA, MO 65240

    Phone: (573) 682-2230

    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: 2021-12-16

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
I20211216000681IPhysical Therapist In Private PracticeMOTBD

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 minutes3125$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3022$0
97162Evaluation for physical therapy, typically 30 minutes2625$0
97530Therapy procedure using functional activities1816$0
View full utilization report →

Insurance plans in this area (ZIP 65240)

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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: 6507090644View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Physical Therapist In Private PracticeMO
-WI
Infectious Disease, Hospitalist, Internal MedicineNM
Internal Medicine, HospitalistMO
-MO

Reviews

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Frequently asked questions

What is the standard ID for LANCE JOSEPH LEVERENZ (DPT) in the U.S.?
In the U.S., LANCE JOSEPH LEVERENZ (DPT) is identified by NPI 1457010647.
Is LANCE JOSEPH LEVERENZ (DPT)'s NPI status active today?
Active status means LANCE JOSEPH LEVERENZ (DPT)'s NPI record is not deactivated in the public file.
Which specialty label fits LANCE JOSEPH LEVERENZ (DPT)?
NPPES ties LANCE JOSEPH LEVERENZ (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is LANCE JOSEPH LEVERENZ (DPT) tied to Centralia, Missouri?
If you are local to Centralia, Missouri, LANCE JOSEPH LEVERENZ (DPT) may be relevant to your search.
Who maintains LANCE JOSEPH LEVERENZ (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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