NICHOLAS MICHAEL LOMBARD (DPT) – Physical Therapist, NPI 1104364595

NICHOLAS MICHAEL LOMBARD (DPT) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT025804 (PA). The NPI Number for NICHOLAS MICHAEL LOMBARD (DPT) is 1104364595

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS MICHAEL LOMBARD (DPT)
NPI
1104364595
Phone
(717) 839-2110
Address
5300 DERRY ST
Enumeration Date
6 February 2017
Last Update Date
6 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7172705465
Graduation Year
2016 (10 years ago)
PAC ID
4486938834
Group Practice PAC ID
8224948666
Professional Enrollment ID
I20170302000516
Address ID
PA170427456LE840XXDRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for NICHOLAS MICHAEL LOMBARD (DPT)

  • 5300 DERRY ST

    2ND FLOOR

    HARRISBURG, PA 171113576

    Phone: (717) 839-2110

    Fax: (717) 565-1934

    Type: Mailing

  • 840 HELEN DR

    SUITE 200

    LEBANON, PA 170427456

    Phone: (717) 270-5465

    Fax: (717) 270-5689

    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: 2017-03-02

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
I20170302000516IPhysical Therapist In Private PracticePATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes65771$0
97140Therapy procedure using manual technique, each 15 minutes65166$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes56771$0
97530Therapy procedure using functional activities8917$0
97162Evaluation for physical therapy, typically 30 minutes3533$0
View full utilization report →

Insurance plans in this area (ZIP 17111)

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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: 8224948666View full group profile
NameSpecialtyState
-OK
-AL
Physical Therapist In Private PracticeNV
-FL
-DE
-PA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-PA

Reviews

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Frequently asked questions

Can I cross-check NICHOLAS MICHAEL LOMBARD (DPT) using NPI 1104364595?
NPI 1104364595 belongs to NICHOLAS MICHAEL LOMBARD (DPT); compare other details if you need extra assurance.
Active or inactive — what applies to NICHOLAS MICHAEL LOMBARD (DPT)?
You should see NICHOLAS MICHAEL LOMBARD (DPT) as active in CMS-hosted NPPES data.
What kind of doctor is NICHOLAS MICHAEL LOMBARD (DPT)?
NICHOLAS MICHAEL LOMBARD (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is NICHOLAS MICHAEL LOMBARD (DPT) located near Harrisburg?
NICHOLAS MICHAEL LOMBARD (DPT) currently maps to Harrisburg, Pennsylvania in this extract.
When was this NPI issued?
Enumeration for NICHOLAS MICHAEL LOMBARD (DPT) is noted as February 6, 2017 where the registry provides it.

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