MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) – Physical Therapist, NPI 1376571919

MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) is a healthcare provider. based in Cedar park, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT, CSCS, CERT, MDT. They hold a License No. 1133353 (TX). The NPI Number for MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) is 1376571919

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT)
NPI
1376571919
Phone
(512) 331-6200
Address
2519 SOUTH LAKELINE BLVD
Enumeration Date
30 June 2006
Last Update Date
1 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123316200
Graduation Year
2000 (26 years ago)
PAC ID
1355412396
Group Practice PAC ID
9638240773
Professional Enrollment ID
I20080819000874
Address ID
TX786132964CE2519XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT)

  • 2519, South Lakeline Boulevard, Cedar Park, Williamson County, Texas, 78613, United States

    SUITE 100

    CEDAR PARK, TX 786132964

    Phone: (512) 331-6200

    Fax: (512) 331-6384

    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: 2008-08-19

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
I20080819000874IPhysical 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 minutes3,501161$0
97530Therapy procedure using functional activities2,264150$0
97164Re-evaluation for physical therapy, typically 20 minutes16889$0
97161Evaluation for physical therapy, typically 20 minutes9793$0
View full utilization report →

Insurance plans in this area (ZIP 78613)

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Provider's Procedures

MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97001Physical therapy evaluation7672
PHYSICAL THERAPYTX97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2522135
PHYSICAL THERAPYTX97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes28860

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: 9638240773View full group profile
NameSpecialtyState
-TX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
-TX

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Frequently asked questions

How do payers reference MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT)?
For MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT), use NPI 1376571919 as the unique 10-digit identifier.
Is there an active status for MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT)?
For scheduling context, MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) is shown as active in the registry.
What kind of doctor is MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT)?
MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) associated with Cedar Park?
Public fields place MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) around Cedar Park, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MICHAEL RAY TILLMAN (MPT, CSCS, CERT, MDT) is noted as June 30, 2006 where the registry provides it.

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