GAGE W PARK (DPT) – Physical Therapist, NPI 1073138434
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GAGE W PARK (DPT)
8205 PRESIDENTS DR
HUMMELSTOWN, PA 170368621
Phone: (717) 839-2188
Fax: (717) 565-1104
Type: Mailing
165 STEVE BARRY BLVD
PRYOR, OK 743616841
Phone: (918) 824-4500
Fax: (918) 824-1977
Type: Location
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: 2020-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200625001502 | I | Physical Therapist In Private Practice | OK | TBD |
| I20201120001882 | I | Physical Therapist In Private Practice | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 2,368 | 103 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 975 | 85 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 488 | 61 | $0 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 466 | 35 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 437 | 74 | $0 |
Insurance plans in this area (ZIP 17036)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physical Therapist In Private Practice | OK | |
| Physical Therapist In Private Practice | AL | |
| - | OK | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AL | |
| - | MS | |
| - | OK | |
| - | OK |
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