MIKE B HEARRON (DPT) – Physical Therapist, NPI 1003236274

MIKE B HEARRON (DPT) is a healthcare provider. based in Bellevue, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT60461336 (WA). The NPI Number for MIKE B HEARRON (DPT) is 1003236274

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MIKE B HEARRON (DPT)
NPI
1003236274
Phone
(425) 455-2630
Address
1188 106TH AVE NE
Enumeration Date
25 April 2014
Last Update Date
12 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256867655
Graduation Year
2013 (13 years ago)
PAC ID
1052537172
Group Practice PAC ID
0042111718
Professional Enrollment ID
I20140725002362
Address ID
WA980128999MI4220XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MIKE B HEARRON (DPT)

  • 1188 106TH AVE NE

    SUITE 100

    BELLEVUE, WA 980048612

    Phone: (425) 455-2630

    Fax: (425) 451-4390

    Type: Location

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    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: 2014-07-25

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
I20140725002362IPhysical Therapist In Private PracticeWATBD

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
97530Therapy procedure using functional activities36136$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19734$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15526$0
97140Therapy procedure using manual technique, each 15 minutes10721$0
98977Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days2717$0
View full utilization report →

Insurance plans in this area (ZIP 98004)

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Provider's Procedures

MIKE B HEARRON (DPT) 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 THERAPYWA97001Physical therapy evaluation4846

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: 0042111718View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeGA
-CT
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMI
-WA
-WA

Reviews

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Frequently asked questions

Does MIKE B HEARRON (DPT) have a public NPI I can cite?
Public records show MIKE B HEARRON (DPT) under NPI 1003236274.
Is MIKE B HEARRON (DPT)'s NPI status active today?
Active status means MIKE B HEARRON (DPT)'s NPI record is not deactivated in the public file.
What services align with MIKE B HEARRON (DPT)'s listing?
MIKE B HEARRON (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MIKE B HEARRON (DPT)?
MIKE B HEARRON (DPT) shows a connection to Bellevue, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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