MARIELLE ELISE BERTRAM (DPT) – Physical Therapist, NPI 1922546902
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARIELLE ELISE BERTRAM (DPT)
3455 HIGHWAY 81
LOGANVILLE, GA 300529138
Phone: (770) 554-0665
Fax: (770) 554-0685
Type: Mailing
2618 N Salisbury Blvd Ste 130
Salisbury, MD 218012217
Phone: (410) 324-7409
Type: Location
Quarles Court, Battlefield Estates, Rockingham County, Virginia, 22801, United States
ROCKINGHAM, VA 228013576
Phone: (540) 437-7585
Fax: (540) 437-7592
Type: Location
2618 N SALISBURY BLVD STE 130
SALISBURY, MD 218012217
Phone: (410) 324-7409
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
11620 97TH LN NE
KIRKLAND, WA 980344269
Phone: (425) 455-2630
Fax: (425) 451-4390
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: 2024-05-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230721002716 | I | Physical Therapist In Private Practice | GA | TBD |
| I20240521004576 | I | Physical Therapist In Private Practice | AZ | 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 |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 72 | 17 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 52 | 18 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 44 | 13 | $0 |
Insurance plans in this area (ZIP 30052)
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