Excel Sports Therapy – Physical Therapist, NPI 1952349631
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Excel Sports Therapy
PO BOX 3666
VICTORIA, TX 779033666
Phone: (361) 572-4246
Fax: (361) 572-9490
Type: Mailing
310 E Pearl St Ste B
Goliad, TX 779634200
Phone: (361) 645-1560
Fax: (361) 645-8528
Type: Location
1013 S Wells St
Edna, TX 779574045
Phone: (361) 782-7898
Fax: (361) 782-6317
Type: Location
2550 N Esplanade St
Cuero, TX 779544736
Phone: (361) 275-0532
Fax: (361) 275-8389
Type: Location
128 N Commerce St
Port Lavaca, TX 779793435
Phone: (361) 552-1977
Fax: (361) 552-7686
Type: Location
Sodalis at Victoria, 4409, North John Stockbauer Drive, Victoria, Victoria County, Texas, 77904, United States
VICTORIA, TX 779041866
Phone: (361) 572-4246
Fax: (361) 572-9490
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: 2004-08-23
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 |
|---|---|---|---|---|
| O20040823000255 | 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 77903)
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