AMANDA M MORK (PT) – Physical Therapist, NPI 1245331586
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for AMANDA M MORK (PT)
North Mayfair Road, Wauwatosa, Milwaukee County, Wisconsin, 53005:53222, United States
STE 500
WAUWATOSA, WI 532261415
Phone:
Type: Mailing
Grandview Boulevard, City of Pewaukee, Waukesha County, Wisconsin, 53072, United States
SUITE 100
PEWAUKEE, WI 530725531
Phone: (262) 574-5185
Fax: (262) 574-5193
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: 2005-03-29
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 |
|---|---|---|---|---|
| I20050329000399 | I | Physical Therapist In Private Practice | WI | 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 | 232 | 11 | $0 |
Insurance plans in this area (ZIP 53226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WI | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 112 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WI | |
| - | IL | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI | |
| Nurse Practitioner | WI | |
| - | IL | |
| Physician Assistant | WI | |
| - | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI |
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