MRS. VICKI L GREENWELL (MPT) – Physical Therapist, NPI 1073515359

MRS. VICKI L GREENWELL (MPT) is a healthcare provider. based in Beaumont, Texas. specializing in Physical Therapist. They hold the professional credentials MPT. They hold a License No. 1122166 (TX). The NPI Number for MRS. VICKI L GREENWELL (MPT) is 1073515359

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. VICKI L GREENWELL (MPT)
NPI
1073515359
Phone
(409) 813-1920
Address
3817 STAGG DR
Enumeration Date
1 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Secondary Phone
4093852500
Graduation Year
1998 (28 years ago)
PAC ID
9638122526
Group Practice PAC ID
1658465703
Professional Enrollment ID
I20050303000229
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. VICKI L GREENWELL (MPT)

  • Stagg Drive, Beaumont, Jefferson County, Texas, 77702, United States

    BEAUMONT, TX 777013717

    Phone: (409) 813-1920

    Fax: (409) 813-1486

    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: 2005-03-03

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
I20050303000229IPhysical Therapist In Private PracticeTXTBD

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 minutes39087$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2823$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 77701)

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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: 1658465703View full group profile
NameSpecialtyState
-TX

Reviews

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Frequently asked questions

What is MRS. VICKI L GREENWELL (MPT)'s NPI number?
MRS. VICKI L GREENWELL (MPT)'s NPI is 1073515359 — the number used across U.S. healthcare to identify this provider.
Is MRS. VICKI L GREENWELL (MPT) still an active registrant?
MRS. VICKI L GREENWELL (MPT) carries an active NPI according to the public dataset.
What kind of doctor is MRS. VICKI L GREENWELL (MPT)?
MRS. VICKI L GREENWELL (MPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. VICKI L GREENWELL (MPT) located near Beaumont?
MRS. VICKI L GREENWELL (MPT) currently maps to Beaumont, Texas in this extract.
Does MRS. VICKI L GREENWELL (MPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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