KEVAN PHILLIPS – Physical Therapist, NPI 1467007724

KEVAN PHILLIPS is a healthcare provider. based in Pelham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 9461 (AL). The NPI Number for KEVAN PHILLIPS is 1467007724

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
KEVAN PHILLIPS
NPI
1467007724
Phone
(205) 942-6820
Address
245 CAHABA VALLEY PKWY STE 200
Enumeration Date
5 August 2019
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883740855
Graduation Year
2019 (7 years ago)
PAC ID
2264814110
Group Practice PAC ID
9133597594
Professional Enrollment ID
I20250116001311
Address ID
MT598085217MI5138XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

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Provider Addresses for KEVAN PHILLIPS

  • 200, Cahaba Valley Parkway, Indian Hills, Pelham, Shelby County, Alabama, 35124, United States

    PELHAM, AL 351242217

    Phone: (205) 942-6820

    Type: Mailing

  • Poole Drive Northwest, Kildere Estates, Huntsville, Madison County, Alabama, 35810, United States

    HUNTSVILLE, AL 358103843

    Phone: (256) 975-0187

    Type: Location

  • 5138 HORN RD

    MISSOULA, MT 598085217

    Phone: (205) 942-6820

    Type: Mailing

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: 2025-01-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250116001311IPhysical Therapist In Private PracticeMTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 35124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133597594View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Cardiovascular Disease (Cardiology), Nuclear MedicineNY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeIL
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)VA
Nurse PractitionerOR
Cardiovascular Disease (Cardiology)NJ

Reviews

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Frequently asked questions

Where can patients find KEVAN PHILLIPS's NPI?
You can confirm KEVAN PHILLIPS with NPI 1467007724; it appears in the national provider directory.
Is KEVAN PHILLIPS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KEVAN PHILLIPS work in?
You can think of KEVAN PHILLIPS as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KEVAN PHILLIPS?
The page summarizes Pelham, Alabama for KEVAN PHILLIPS; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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