MARK OUELLETTE (PT) – Physical Therapist, NPI 1588720510

MARK OUELLETTE (PT) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5603 (OR). The NPI Number for MARK OUELLETTE (PT) is 1588720510

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK OUELLETTE (PT)
NPI
1588720510
Phone
(541) 636-4471
Address
1144 WILLAGILLESPIE RD
Enumeration Date
27 December 2006
Last Update Date
15 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416039960
Graduation Year
2000 (26 years ago)
PAC ID
3375582067
Group Practice PAC ID
2163614470
Professional Enrollment ID
I20081210000845
Address ID
OR974016711EU1144XRDXX301
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 MARK OUELLETTE (PT)

  • 1144, Willagillespie Road, Eugene, Lane County, Oregon, 97401, United States

    STE 1

    EUGENE, OR 974016729

    Phone: (541) 636-4471

    Fax: (541) 357-4992

    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: 2008-12-10

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
I20081210000845IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes8616$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6916$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6817$0
97530Therapy procedure using functional activities3211$0
97535Training for self-care or home management, each 15 minutes2717$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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Provider's Procedures

MARK OUELLETTE (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 THERAPYOR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes48734

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: 2163614470View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What federal number belongs to MARK OUELLETTE (PT)?
The federal identifier for MARK OUELLETTE (PT) is NPI 1588720510.
Is MARK OUELLETTE (PT) currently active in the NPI registry?
CMS-published data lists MARK OUELLETTE (PT) as an active registrant.
What field does MARK OUELLETTE (PT) work in?
You can think of MARK OUELLETTE (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MARK OUELLETTE (PT)?
We surface Eugene, Oregon for MARK OUELLETTE (PT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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