KRISTEN D REVIS (PT) – Physical Therapist, NPI 1114011004

KRISTEN D REVIS (PT) is a healthcare provider. based in Tucson, Arizona. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5271 (AZ). The NPI Number for KRISTEN D REVIS (PT) is 1114011004

Main info

Female
26 Years Of Experience
Name
KRISTEN D REVIS (PT)
NPI
1114011004
Phone
(520) 324-3600
Address
2600 N WYATT DR
Enumeration Date
3 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203245437
Graduation Year
2000 (26 years ago)
PAC ID
0143380303
Group Practice PAC ID
2264503408
Professional Enrollment ID
I20081118000085
Address ID
AZ857126106TU2600XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

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Provider Addresses for KRISTEN D REVIS (PT)

  • North Wyatt Drive, Tucson, Pima County, Arizona, 85712, United States

    TUCSON, AZ 857126106

    Phone: (520) 324-3600

    Fax: (520) 324-3129

    Mailing address matches the actual address.

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: 2008-11-18

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
I20081118000085IPhysical Therapist In Private PracticeAZTBD

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 85712)

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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: 2264503408View full group profile
NameSpecialtyState
-AZ
-AZ
Pediatric Medicine, GastroenterologyAZ
Clinical Social WorkerAZ
Clinical Social WorkerAZ
Hospitalist, Pediatric MedicineAZ
-AZ
Physical Therapist In Private PracticeAZ
-AZ
Orthopedic SurgeryAZ

Reviews

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Frequently asked questions

How do I look up KRISTEN D REVIS (PT) by NPI?
Use NPI 1114011004 when you need to reference KRISTEN D REVIS (PT) in forms, claims, or directories.
Is KRISTEN D REVIS (PT)'s NPI currently valid?
The extract we use shows KRISTEN D REVIS (PT) as active.
What does KRISTEN D REVIS (PT) treat or focus on?
Patients typically see KRISTEN D REVIS (PT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTEN D REVIS (PT)?
The page summarizes Tucson, Arizona for KRISTEN D REVIS (PT); expand the address list for detail.
How can I contact KRISTEN D REVIS (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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