LORI L HOLYFIELD (PT) – Physical Therapist, NPI 1679507784

LORI L HOLYFIELD (PT) is a healthcare provider. based in Longview, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1114353 (TX). The NPI Number for LORI L HOLYFIELD (PT) is 1679507784

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LORI L HOLYFIELD (PT)
NPI
1679507784
Phone
(903) 234-0999
Address
100 W HAWKINS PKWY
Enumeration Date
11 July 2006
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035726100
Graduation Year
1997 (29 years ago)
PAC ID
5890703672
Group Practice PAC ID
1850488370
Professional Enrollment ID
I20060407000098
Address ID
TX754555337MO1406XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for LORI L HOLYFIELD (PT)

  • 100, West Hawkins Parkway, Longview, Gregg County, Texas, 75605, United States

    LONGVIEW, TX 756051816

    Phone: (903) 234-0999

    Fax: (903) 234-9698

    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: 2006-04-07

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
I20060407000098IPhysical 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 minutes25912$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24512$0
97116Therapy procedure for walking training, each 15 minutes8811$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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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: 1850488370View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for LORI L HOLYFIELD (PT) in U.S. healthcare records?
The official identifier for LORI L HOLYFIELD (PT) is NPI 1679507784.
Is LORI L HOLYFIELD (PT) shown as active in public data?
Registry records indicate LORI L HOLYFIELD (PT) maintains an active NPI.
What expertise is attributed to LORI L HOLYFIELD (PT)?
LORI L HOLYFIELD (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is LORI L HOLYFIELD (PT) located near Longview?
LORI L HOLYFIELD (PT) currently maps to Longview, Texas in this extract.
Does LORI L HOLYFIELD (PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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