MS. LISA PAN (PT, DPT) – Orthopedic Physical Therapist, NPI 1104376417
Orthopedic Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA
Provider Addresses for MS. LISA PAN (PT, DPT)
West Germantown Pike, Plymouth Meeting Mall, Hickorytown, Plymouth Township, Montgomery County, Pennsylvania, 19462, United States
SUITE 100
PLYMOUTH MEETING, PA 194621420
Phone: (610) 270-0370
Fax: (610) 270-0374
Type: Mailing
331 WILMINGTON PIKE
GLEN MILLS, PA 193422277
Phone: (610) 558-5866
Fax: (610) 558-6103
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: 2024-05-07
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 |
|---|---|---|---|---|
| I20191111000088 | I | Physical Therapist In Private Practice | DC | TBD |
| I20240507004588 | I | Physical Therapist In Private Practice | VA | 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 |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 476 | 56 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 348 | 54 | $0 |
| 97530 | Therapy procedure using functional activities | 336 | 56 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 294 | 50 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 29 | 28 | $0 |
Insurance plans in this area (ZIP 19462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | NY |
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