GARY HIGGINS PT
NPI 1437628880
Physical Therapist in Lehighton, PA
About Gary Higgins Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY HIGGINS PT (NPI 1437628880) is an individual physical therapist in Lehighton, Pennsylvania, licensed in Pennsylvania (PT006804L) and active in the NPI registry since November 2018. He is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gary Higgins Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Gary Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lehighton, PA 18235
- Reassigned Medicare billing, Pennsylvania enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gary Higgins's NPI number?
The NPI number for Gary Higgins is 1437628880. It was assigned to this individual provider in the NPPES registry on November 15, 2018.
Where is Gary Higgins located?
Gary Higgins practices at 290 Krakow Dr, Lehighton, PA 18235. The listed phone number is (610) 216-7863.
What is Gary Higgins's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Gary Higgins enrolled in Medicare?
Yes. Gary Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gary Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Higgins reassigns Medicare benefits to In Your Home Physical Therapy LLC (Lehighton, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gary Higgins was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.