COUNTRYSIDE THERAPY GROUP, INC – Rehabilitation Clinic/Center, NPI 1710999289
Rehabilitation Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COUNTRYSIDE THERAPY GROUP, INC
315 SE 6th Ave
Mineral Wells, TX 760675413
Phone: (940) 325-1516
Type: Location
925 Santa Fe Dr Ste 110
Weatherford, TX 760865867
Phone: (817) 599-7714
Type: Location
107 S Park Dr
Brownwood, TX 768015951
Phone: (254) 965-3611
Type: Location
515, West Lingleville Road, Stephenville, Erath County, Texas, 76401, United States
STEPHENVILLE, TX 764012211
Phone: (254) 965-3611
Fax: (254) 965-3618
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2024-12-30
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| O20041014000106 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | TX | TBD |
| O20241230000031 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 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)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.