MS. MICHELLE LYNN REISIG (PT) – Physical Therapist, NPI 1568407054

MS. MICHELLE LYNN REISIG (PT) is a healthcare provider. based in Canyonville, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4654 (OR). The NPI Number for MS. MICHELLE LYNN REISIG (PT) is 1568407054

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE LYNN REISIG (PT)
NPI
1568407054
Phone
(541) 476-2502
Address
415 S MAIN ST
Enumeration Date
18 June 2006
Last Update Date
11 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037693123
Graduation Year
1999 (27 years ago)
PAC ID
9436104148
Group Practice PAC ID
1759391394
Professional Enrollment ID
I20050315001181
Address ID
OR973831704ST601XXSTXX400
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

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for MS. MICHELLE LYNN REISIG (PT)

  • 415, South Main Street, Canyonville, Douglas County, Oregon, 97417, United States

    CANYONVILLE, OR 974179646

    Phone: (541) 476-2502

    Fax: (541) 476-2397

    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: 2005-03-15

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
I20050315001181IPhysical 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 activities41527$0
View full utilization report →

Insurance plans in this area (ZIP 97417)

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Provider's Procedures

MS. MICHELLE LYNN REISIG (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 THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36242

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: 1759391394View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-CO
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What number should I use to identify MS. MICHELLE LYNN REISIG (PT) for billing?
Administrative and clinical systems typically use NPI 1568407054 for MS. MICHELLE LYNN REISIG (PT).
Is MS. MICHELLE LYNN REISIG (PT)'s NPI status active today?
Active status means MS. MICHELLE LYNN REISIG (PT)'s NPI record is not deactivated in the public file.
Which specialty label fits MS. MICHELLE LYNN REISIG (PT)?
NPPES ties MS. MICHELLE LYNN REISIG (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. MICHELLE LYNN REISIG (PT)?
MS. MICHELLE LYNN REISIG (PT) is associated with Canyonville, Oregon in the same public data insurers reference.
Who maintains MS. MICHELLE LYNN REISIG (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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