TREVER KINGSBURY (PT, DPT) – Physical Therapist, NPI 1083483051

TREVER KINGSBURY (PT, DPT) is a healthcare provider. based in Anchorage, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 173296 (AK). The NPI Number for TREVER KINGSBURY (PT, DPT) is 1083483051

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TREVER KINGSBURY (PT, DPT)
NPI
1083483051
Phone
(231) 622-1768
Address
3911 E 86TH AVE
Enumeration Date
1 January 2024
Last Update Date
1 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072495548
Graduation Year
2020 (6 years ago)
PAC ID
9335587443
Group Practice PAC ID
2961705520
Professional Enrollment ID
I20240409003132
Address ID
AK995084669AN3890XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

458 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for TREVER KINGSBURY (PT, DPT)

  • 3911 E 86TH AVE

    ANCHORAGE, AK 995073661

    Phone: (231) 622-1768

    Type: Mailing

  • 3890 UNIVERSITY LAKE DR STE 110

    ANCHORAGE, AK 995084669

    Phone: (907) 249-5542

    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: 2024-04-09

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
I20240409003132IPhysical Therapist In Private PracticeAKTBD

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 99507)

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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: 2961705520View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAK
Physician AssistantAK
Orthopedic SurgeryAK
P O D I A T R YTX
Family PracticeWA
Nurse PractitionerAK
Physician AssistantAK
-AK
Family Practice, Osteopathic Manipulative MedicineAK
Pain Management, Physical Medicine And RehabilitationAK

Reviews

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Frequently asked questions

What unique ID ties claims to TREVER KINGSBURY (PT, DPT)?
NPI 1083483051 is assigned to TREVER KINGSBURY (PT, DPT) under the national enumeration system.
Does this profile mean TREVER KINGSBURY (PT, DPT) is currently active?
Yes — TREVER KINGSBURY (PT, DPT) appears active in the national provider directory.
What does TREVER KINGSBURY (PT, DPT) treat or focus on?
Patients typically see TREVER KINGSBURY (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is TREVER KINGSBURY (PT, DPT)'s primary listing?
We display Anchorage, Alaska because that is what the record indicates for TREVER KINGSBURY (PT, DPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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