Affordable and Reliable
Physical Therapy Credentialing Services
Streamline your physical therapy practice with expert credentialing support.
Get credentialed with Medicare, Medicaid, and private insurers quickly and efficiently.
Avoid denials and maximize reimbursements.
Get your PTAN in just 30 days.
No upfront fees — pay only after approval.
95% first-time approval guarantee.
Starting From
$140
Per Application
Physical Therapy
Credentialing Services
Get credentialed with Medicare and commercial payers in 30 days or less.
Our PT-specific experts handle everything from dry needling modifiers to multi-location NPIs. Fast-Track Your PTAN in 30 Days
95% Approval Rate
Get your PTAN and commercial payer enrollments completed in 30 days
Fully secured process with signed BAAs and encrypted communication.
Physical Therapy Credentialing
Services We Offer
PT-Specific Medicare Expertise
Handles the initial application process for physicians to join insurance networks (e.g., Medicare, Medicaid, and commercial payers like Aetna or UnitedHealthcare). Includes gathering documents (licenses, CVs, malpractice insurance) and submitting applications to ensure eligibility for reimbursement.
Primary Source Verification (PSV)
Verifies the authenticity of a physician’s credentials (e.g., education, training, licenses, board certifications) by contacting original sources like medical schools and state boards. Critical for compliance and reducing fraud risks
CAQH Registration & Maintenance
Creates and updates profiles on the Council for Affordable Quality Healthcare (CAQH) ProView system, streamlining credentialing with multiple payers. Includes regular attestations to keep data current.
Medicare & Medicaid Enrollment
Manages enrollment with government programs, including PECOS (Medicare’s Provider Enrollment System) and state Medicaid portals. Ensures compliance with CMS requirements and retroactive billing eligibility.
Commercial Payer Credentialing
Facilitates contracts with private insurers (e.g., Blue Cross Blue Shield, Cigna). Negotiates favorable reimbursement terms and resolves delays in network participation.
Revalidation & Recredentialing
Updates credentials every 3–5 years (per payer requirements) to maintain active status. Includes demographic updates and reverification of licenses/DEA certifications.
NPI Registration (Type 1 & Type 2)
Secures National Provider Identifiers (NPIs) for individual providers (Type 1) and group practices (Type 2), essential for HIPAA-compliant billing.
Contract Negotiation
Advocates for higher reimbursement rates and favorable contract terms with payers, leveraging industry benchmarks
DEA & State License Managemen
Assists with Drug Enforcement Administration (DEA) certifications and state medical license renewals, including CLIA lab registrations.
Steps in the PT Credentialing
Credentialing Process
Benefits of Outsourcing
Physical Therapy Credentialing
Faster PTAN Approval
Get credentialed with Medicare in 30 days (vs. 60-90 day average) to start billing sooner
Dry Needling Coverage
Proper enrollment for 20560/20561 codes with correct modifiers to prevent denials
Multi-Location Credentialing
Structure PTANs correctly across clinics to avoid CMS reassignment penalties
Specialty Program Enrollment
Expedited credentialing for LSVT BIG, vestibular rehab, and pelvic health programs
Higher Reimbursement Rates
Identify and enroll with highest-paying PT insurance plans in your area
Workers' Comp Optimization
State-specific credentialing for industrial rehab cases with pre-negotiated visit limits
Telehealth Credentialing
Proper enrollment for virtual PT services with location-02 requirements
Audit Protection
CMS-compliant documentation for functional limitation reporting (G-codes)
8-Minute Rule Compliance
Proper credentialing for timed codes with built-in billing calculations
FAQ
Ask us anything
The standard time frame for the physician credentialing application process is 30-120 business days.
Some insurances even take more than 120 days, and some process applications within 45 days.
Private Insurers: 60-120 days
Medicaid: 90-180 days
Your dedicated account manager will help you evaluate the right payers according to your specialty and location. We help you negotiate contracts in the best possible way. Transparent and timely client communication is the main focus of our medical credentialing service. We send biweekly application status updates.
In general and on average, expect to pay $250-$399 per provider per payer for physician credentialing services.
No, you will have to wait until your medical provider credentialing and contracting application gets approved.
To complete the medical provider credentialing process, you should have the following documents.
- State License
- Malpractice insurance
- DEA certificate
- Resume
- Board certificate
- IRS letter (EIN letter)
- Business Voided Check
- General Liability insurance
- Educational and Professional history of medical provider
- Article of Incorporation in case of business
Physician.
Provider Name, NPI, Specialty, SSN, Date of Birth, Birth Country & State, Contact Number, Home Address, CAQH Username & Password, NPPES Username & Password, Office Hours
Practice.
Practice Name, Tax ID, Practice NPI, Practice Specialty, Service Location, Mailing Address, Practice Phone Number, Practice Fax Number
Owner.
Percentage, Name, Date of Birth, SSN, Home Address, Cell Number, NPPES Username & Password, Birth Country & State
Yes & No.
It depends on your specialty, patient volume, and state you are practicing in, but it is always recommended to complete your Medicare provider enrollment process before applying for other insurances.
It depends on multiple factors such as your specialty, the state you are practicing in, and the insurances you are applying for.
We can help you get your individual or business NPI within 24 hours for FREE.
Yes, you will either get an approval letter via mail or an email from the medical insurance payer on approval of your physician credentialing application.
No, but they must work under a credentialed PT for insurance billing.
Credentialing verifies a PT’s education, licenses, and malpractice history so insurers can approve them as in-network providers.
Trusted by Physical Therapy Practices Nationwide
Verified Credentialing Results
Very attentive and efficient
Always available to explain things or answer questions or concerns
We would love to hear from you.
Contact Us
Have a question or want to learn more about our services? Fill out the form below and our team will get back to you within 24 hours.
We serve all 50 states.
