KEVIN T WILLIAMS (PT, DPT, CSCS) – Physical Therapist, NPI 1154872109

KEVIN T WILLIAMS (PT, DPT, CSCS) is a healthcare provider. based in Sacaton, Arizona. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, CSCS. They hold a License No. 12486 (AZ). The NPI Number for KEVIN T WILLIAMS (PT, DPT, CSCS) is 1154872109

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN T WILLIAMS (PT, DPT, CSCS)
NPI
1154872109
Phone
(602) 528-1200
Address
483 W SEED FARM RD
Enumeration Date
14 October 2016
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6024665951
Graduation Year
2016 (10 years ago)
PAC ID
6204114168
Group Practice PAC ID
6204078025
Professional Enrollment ID
I20190723000575
Address ID
AZ852565300SC10901RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

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Provider Addresses for KEVIN T WILLIAMS (PT, DPT, CSCS)

  • 483, Seed Farm Road, Sacaton, Pinal County, Arizona, 85147, United States

    SACATON, AZ 85147

    Phone: (602) 528-1200

    Fax: (602) 528-1255

    Type: Location

  • PO BOX 115

    SACATON, AZ 851470002

    Phone: (520) 796-2600

    Type: Mailing

  • 18311 E NAVAJO DR

    QUEEN CREEK, AZ 851420221

    Phone: (480) 272-2141

    Type: Mailing

  • 10901 E MCDOWELL RD

    SCOTTSDALE, AZ 852565300

    Phone: (480) 278-7742

    Fax: (480) 362-2627

    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: 2019-07-23

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
I20190723000575IPhysical Therapist In Private PracticeTXTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43427$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10816$0
97161Evaluation for physical therapy, typically 20 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 85147)

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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: 6204078025View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerAZ
Internal MedicineIL
-AZ
Nurse PractitionerAZ
Nurse PractitionerCA
Family PracticeAZ
Physical Therapist In Private PracticeAZ
Family PracticeAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

How do I look up KEVIN T WILLIAMS (PT, DPT, CSCS) by NPI?
Use NPI 1154872109 when you need to reference KEVIN T WILLIAMS (PT, DPT, CSCS) in forms, claims, or directories.
Is KEVIN T WILLIAMS (PT, DPT, CSCS) currently active in the NPI registry?
CMS-published data lists KEVIN T WILLIAMS (PT, DPT, CSCS) as an active registrant.
What kind of provider is KEVIN T WILLIAMS (PT, DPT, CSCS)?
The page reflects Physical Therapist for KEVIN T WILLIAMS (PT, DPT, CSCS). Clinical services aligned with this taxonomy classification.
What location metadata exists for KEVIN T WILLIAMS (PT, DPT, CSCS)?
The page summarizes Sacaton, Arizona for KEVIN T WILLIAMS (PT, DPT, CSCS); expand the address list for detail.
How can I contact KEVIN T WILLIAMS (PT, DPT, CSCS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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