Mary Lynn Halbach, PT, CSCS
NPI 1710001094ActiveIndividual· Physical Therapist· Tucson, AZ
Physical Therapist (PT, CSCS) with Physio Shop Tucson LLC, practicing in Tucson, Arizona. Medicare paid $79,320 for services to 204 patients in 2024.
Overview
| NPI | 1710001094 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, CSCS |
| Sole proprietor | Yes |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1802 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 204 |
|---|---|
| Services billed | 4,363 across 13 procedure codes |
| Paid by Medicare | $79,320 |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Physio Shop Tucson LLCTucson, AZ · 13 clinicians
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