DPT PHYSICAL THERAPY & PERFORMANCE – Physical Therapist, NPI 1013662956
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DPT PHYSICAL THERAPY & PERFORMANCE
937 Fm 1821 Ste I
Mineral Wells, TX 760679134
Phone: (254) 431-5100
Type: Location
2811 S Loop 289 Ste 14
Lubbock, TX 794231443
Phone: (806) 715-2177
Type: Location
1613 NE Big Bend Trl Unit B
Glen Rose, TX 760435044
Phone: (254) 436-5766
Type: Location
508 E Central Ave Ste B
Comanche, TX 764422517
Phone: (325) 298-3600
Fax: (325) 298-3601
Type: Location
2900 W WASHINGTON ST STE 74A
STEPHENVILLE, TX 764013734
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: 2022-06-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220607000235 | O | Physical/Occupational Therapy Group 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76067)
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