BRYAN LICK (P.T.) – Physical Therapist, NPI 1750775318
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX
Provider Addresses for BRYAN LICK (P.T.)
405 E Marshall St
Gilmer, TX 756442331
Phone: (903) 402-1052
Type: Location
213 Highway 37
Mount Vernon, TX 754573106
Phone: (903) 270-6221
Type: Location
1406 Shadywood Ln
Mount Pleasant, TX 754555337
Phone: (903) 572-6100
Type: Location
304 E 1st
Hughes Springs, TX 756563760
Phone: (903) 717-8968
Type: Location
625 Chase Dr
Tyler, TX 757019452
Phone: (903) 717-8966
Type: Location
2710 E Price St
Paris, TX 754604859
Phone: (903) 784-3173
Type: Location
98 PRIVATE ROAD 4635
MOUNT PLEASANT, TX 754558547
Phone:
Type: Mailing
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: 2016-04-13
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 |
|---|---|---|---|---|
| I20160413002114 | I | Physical Therapist In Private Practice | TX | 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 | 7,413 | 224 | $0 |
| 97530 | Therapy procedure using functional activities | 3,236 | 168 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,336 | 117 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 629 | 64 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 381 | 44 | $0 |
Insurance plans in this area (ZIP 75644)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | AR | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX |
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