MARK W ROSHELL (MS PT) – Physical Therapist, NPI 1457460107

MARK W ROSHELL (MS PT) is a healthcare provider. based in Fenton, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS PT. They hold a License No. 102416 (MO). The NPI Number for MARK W ROSHELL (MS PT) is 1457460107

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MARK W ROSHELL (MS PT)
NPI
1457460107
Phone
(636) 349-8060
Address
552 Old Smizer Mill Rd
Enumeration Date
29 August 2006
Last Update Date
3 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6363277110
Graduation Year
1992 (34 years ago)
PAC ID
5799711446
Group Practice PAC ID
4789602681
Professional Enrollment ID
I20050713000898
Address ID
MO633853817WE1832XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for MARK W ROSHELL (MS PT)

  • 552 Old Smizer Mill Rd

    Fenton, MO 63026

    Phone: (636) 349-8060

    Fax: (636) 349-9171

    Type: Location

  • 784, Gravois Bluffs Boulevard, Gravois Bluffs, Fenton, Saint Louis County, Missouri, 63026, United States

    FENTON, MO 630267726

    Phone: (636) 349-8060

    Fax: (636) 349-9171

    Type: Location

  • 600, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States

    WESTMONT, IL 605595548

    Phone: (630) 575-6200

    Fax: (630) 928-5080

    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: 2005-07-13

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
I20050713000898IPhysical 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
97530Therapy procedure using functional activities64959$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes55758$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28349$0
97140Therapy procedure using manual technique, each 15 minutes20642$0
97162Evaluation for physical therapy, typically 30 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 63026)

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Provider's Procedures

MARK W ROSHELL (MS 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 THERAPYMO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes90138
PHYSICAL THERAPYMO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes15126

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: 4789602681View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeVA
-MI
-IL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
-MI

Reviews

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Frequently asked questions

What is MARK W ROSHELL (MS PT)'s NPI number?
MARK W ROSHELL (MS PT)'s NPI is 1457460107 — the number used across U.S. healthcare to identify this provider.
Is MARK W ROSHELL (MS PT) shown as active in public data?
Registry records indicate MARK W ROSHELL (MS PT) maintains an active NPI.
What kind of doctor is MARK W ROSHELL (MS PT)?
MARK W ROSHELL (MS PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MARK W ROSHELL (MS PT) associated with Fenton?
Public fields place MARK W ROSHELL (MS PT) around Fenton, Missouri. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MARK W ROSHELL (MS PT) is noted as August 29, 2006 where the registry provides it.

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