DR. LACY ELIZABETH SANSBURN (PT) – Orthopedic Physical Therapist, NPI 1154093821
Orthopedic Physical Therapist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN
Provider Addresses for DR. LACY ELIZABETH SANSBURN (PT)
712 VALENCINA DRIVE
CLARKSVILLE, TN 37043
Phone: (931) 999-5588
Type: Mailing
3056 MILES JOHNSON PKWY
SPRING HILL, TN 371744564
Phone: (877) 407-3422
Fax: (877) 407-4329
Type: Location
141 Hillcrest Dr
Clarksville, TN 370435088
Phone: (931) 552-4340
Type: Location
PO BOX 9118
MINNEAPOLIS, MN 554809118
Phone: (615) 329-2294
Fax: (615) 695-1494
Type: Mailing
141 HILLCREST DR
CLARKSVILLE, TN 370435088
Phone: (931) 552-4340
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: 2021-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211112000214 | I | Physical Therapist In Private Practice | TN | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 192 | 22 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 37043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | TN | |
| Qualified Speech Language Pathologist | TN | |
| Physical Therapist In Private Practice | TN | |
| Qualified Speech Language Pathologist | MD | |
| - | MO | |
| Physical Therapist In Private Practice | SC | |
| Physical Therapist In Private Practice | TN | |
| Qualified Speech Language Pathologist | TN | |
| Physical Therapist In Private Practice | KY |
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