CASSIDEE RHEA STUMBO (PT, DPT) – Physical Therapist, NPI 1174220362

CASSIDEE RHEA STUMBO (PT, DPT) is a healthcare provider. based in Fort wainwright, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 203408 (AK). The NPI Number for CASSIDEE RHEA STUMBO (PT, DPT) is 1174220362

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDEE RHEA STUMBO (PT, DPT)
NPI
1174220362
Phone
(806) 315-1910
Address
PO BOX 35204
Enumeration Date
8 February 2023
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074565990
Graduation Year
2022 (4 years ago)
PAC ID
5698140291
Group Practice PAC ID
7719979400
Professional Enrollment ID
I20230413000713
Address ID
AK997014714FA544XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

461 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for CASSIDEE RHEA STUMBO (PT, DPT)

  • PO BOX 35204

    FORT WAINWRIGHT, AK 997030204

    Phone: (806) 315-1910

    Type: Mailing

  • 544 4TH AVE STE 102

    FAIRBANKS, AK 997014714

    Phone: (907) 456-5990

    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: 2023-04-13

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
I20230413000713IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities41923$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24920$0
97140Therapy procedure using manual technique, each 15 minutes6714$0
View full utilization report →

Insurance plans in this area (ZIP 99703)

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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: 7719979400View full group profile

Reviews

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Frequently asked questions

What federal number belongs to CASSIDEE RHEA STUMBO (PT, DPT)?
The federal identifier for CASSIDEE RHEA STUMBO (PT, DPT) is NPI 1174220362.
Is CASSIDEE RHEA STUMBO (PT, DPT) active in the national directory?
CASSIDEE RHEA STUMBO (PT, DPT)'s public NPI profile is in an active state.
What field does CASSIDEE RHEA STUMBO (PT, DPT) work in?
You can think of CASSIDEE RHEA STUMBO (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CASSIDEE RHEA STUMBO (PT, DPT)'s primary listing?
We display Fort Wainwright, Alaska because that is what the record indicates for CASSIDEE RHEA STUMBO (PT, DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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