KELLEY SCHAEFER HALE (PT,DPT) – Physical Therapist, NPI 1679111777

KELLEY SCHAEFER HALE (PT,DPT) is a healthcare provider. based in Justin, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT,DPT. They hold a License No. 1304549 (TX). The NPI Number for KELLEY SCHAEFER HALE (PT,DPT) is 1679111777

Main info

Female
Sole Proprietor
8 Years Of Experience
Name
KELLEY SCHAEFER HALE (PT,DPT)
NPI
1679111777
Phone
(940) 366-1001
Address
1713 THORNTREE LN
Enumeration Date
19 December 2019
Last Update Date
19 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177565366
Graduation Year
2018 (8 years ago)
PAC ID
8426451816
Group Practice PAC ID
7517360902
Professional Enrollment ID
I20210722002359
Address ID
TX762623504RO295XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for KELLEY SCHAEFER HALE (PT,DPT)

  • 1713 THORNTREE LN

    JUSTIN, TX 762475768

    Phone: (940) 366-1001

    Type: Mailing

  • 351 W BYRON NELSON BLVD

    STE 110

    ROANOKE, TX 76262

    Phone: (254) 855-3156

    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: 2021-07-22

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
I20210722002359IPhysical 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 minutes82117$0
97140Therapy procedure using manual technique, each 15 minutes26114$0
97162Evaluation for physical therapy, typically 30 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 76247)

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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: 7517360902View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is KELLEY SCHAEFER HALE (PT,DPT)'s NPI number?
KELLEY SCHAEFER HALE (PT,DPT)'s NPI is 1679111777 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KELLEY SCHAEFER HALE (PT,DPT)?
For scheduling context, KELLEY SCHAEFER HALE (PT,DPT) is shown as active in the registry.
How would a patient describe KELLEY SCHAEFER HALE (PT,DPT)'s focus?
For KELLEY SCHAEFER HALE (PT,DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLEY SCHAEFER HALE (PT,DPT)?
Directory geography for KELLEY SCHAEFER HALE (PT,DPT) centers on Justin, Texas.
When was this NPI issued?
Enumeration for KELLEY SCHAEFER HALE (PT,DPT) is noted as December 19, 2019 where the registry provides it.

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