DANIEL M WILLEY – Physical Therapist, NPI 1407472657

DANIEL M WILLEY is a healthcare provider. based in La grande, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 65160 (OR). The NPI Number for DANIEL M WILLEY is 1407472657

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL M WILLEY
NPI
1407472657
Phone
(541) 962-0830
Address
2519 COVE AVE
Enumeration Date
24 June 2020
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419620830
Graduation Year
2023 (3 years ago)
PAC ID
4981043627
Group Practice PAC ID
9537053079
Professional Enrollment ID
I20240415002686
Address ID
OR978503910LA2519XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for DANIEL M WILLEY

  • 2519 COVE AVE

    LA GRANDE, OR 978503910

    Phone: (541) 962-0830

    Type: Location

  • 10038 MEADOW WAY UNIT D

    TRUCKEE, CA 961614974

    Phone: (530) 426-2110

    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: 2024-04-15

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
I20240415002686IPhysical Therapist In Private PracticeORTBD

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 97850)

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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: 9537053079View full group profile
NameSpecialtyState
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
-OR
Occupational Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR

Reviews

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Frequently asked questions

How do I look up DANIEL M WILLEY by NPI?
Use NPI 1407472657 when you need to reference DANIEL M WILLEY in forms, claims, or directories.
Is DANIEL M WILLEY currently active in the NPI registry?
CMS-published data lists DANIEL M WILLEY as an active registrant.
Can you summarize DANIEL M WILLEY's specialty in plain language?
Clinically, the directory lists DANIEL M WILLEY with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does DANIEL M WILLEY practice in Oregon?
You will see La Grande, Oregon on file for DANIEL M WILLEY alongside any extra practice locations.
Is DANIEL M WILLEY a real provider?
This page reflects official NPPES data for NPI 1407472657. Always confirm identity and privileges with the practice and licensing boards.

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