KEVIN VINCENT HARTSOUGH – Physical Therapist, NPI 1033672373
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KEVIN VINCENT HARTSOUGH
3230 E Imperial Hwy Ste 100
Brea, CA 928216735
Phone: (714) 256-5074
Type: Location
3300 Irvine Ave Ste 130
Newport Beach, CA 926603119
Phone: (949) 271-0053
Type: Location
13931 Carroll Way Ste B
Tustin, CA 927801861
Phone: (714) 988-8120
Type: Location
24301 Muirlands Blvd Ste T
Lake Forest, CA 926303627
Phone: (949) 271-0012
Type: Location
North Bellflower Boulevard, Los Altos, Long Beach, Los Angeles County, California, 90808, United States
LONG BEACH, CA 908151125
Phone: (562) 384-4525
Fax: (562) 384-4524
Type: Location
3230 E IMPERIAL HWY STE 100
BREA, CA 928216735
Phone: (714) 988-8110
Fax: (714) 988-8111
Type: Mailing
68 Willow Rd
Menlo Park, CA 940253653
Phone: (866) 839-6979
Type: Location
2820 N Bellflower Blvd
Long Beach, CA 908151125
Phone: (562) 384-4525
Fax: (562) 384-4524
Type: Location
239 E Katella Ave
Orange, CA 928674853
Phone: (714) 538-0025
Type: Location
755 N Shepard St
Anaheim, CA 928062836
Phone: (714) 630-6252
Type: Location
250 E YALE LOOP STE 201
IRVINE, CA 926044697
Phone: (949) 265-2442
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: 2019-11-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191111000546 | I | Physical Therapist In Private Practice | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 506 | 25 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 364 | 28 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 361 | 22 | $0 |
Insurance plans in this area (ZIP 92821)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA |
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