BROCK MONGER (D.P.T) – Physical Therapist, NPI 1487647657

BROCK MONGER (D.P.T) is a healthcare provider. based in Madras, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T. They hold a License No. 4945893-2401 (UT). The NPI Number for BROCK MONGER (D.P.T) is 1487647657

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BROCK MONGER (D.P.T)
NPI
1487647657
Phone
(541) 475-1218
Address
230 SW 5TH ST
Enumeration Date
23 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413853344
Graduation Year
2001 (25 years ago)
PAC ID
5294754057
Group Practice PAC ID
9739113143
Professional Enrollment ID
I20060829000044
Address ID
OR977023663BE1001XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for BROCK MONGER (D.P.T)

  • 5th Street, CMWSSB Division 86, Ward 86, Zone 7 Ambattur, Chennai, Ambattur, Thiruvallur, Tamil Nadu, 600037, India

    MADRAS, OR 977411341

    Phone: (541) 475-1218

    Fax: (541) 475-7647

    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: 2006-08-29

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
I20060829000044IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities33540$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19338$0
97140Therapy procedure using manual technique, each 15 minutes12131$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11225$0
97162Evaluation for physical therapy, typically 30 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 97741)

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Provider's Procedures

BROCK MONGER (D.P.T) 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 THERAPYOR97001Physical therapy evaluation3838
PHYSICAL THERAPYOR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes30760

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: 9739113143View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMT
-OR
Physical Therapist In Private PracticeOR
-OR
-CO
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

How is BROCK MONGER (D.P.T) identified in CMS data?
CMS-hosted NPPES data lists BROCK MONGER (D.P.T) with NPI 1487647657.
Is BROCK MONGER (D.P.T) still practicing?
BROCK MONGER (D.P.T) is currently listed as active in the public NPI registry.
What is BROCK MONGER (D.P.T)'s primary classification?
Physical Therapist is the headline specialty for BROCK MONGER (D.P.T) here. Clinical services aligned with this taxonomy classification.
Where should I expect BROCK MONGER (D.P.T) on a map?
Expect Madras, Oregon as a primary anchor for BROCK MONGER (D.P.T) unless the record lists multiple sites.
Why does BROCK MONGER (D.P.T) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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