KELSEY WISINSKI (PT, DPT) – Physical Therapist, NPI 1114416286

KELSEY WISINSKI (PT, DPT) is a healthcare provider. based in Longmont, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for KELSEY WISINSKI (PT, DPT) is 1114416286

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY WISINSKI (PT, DPT)
NPI
1114416286
Phone
(303) 827-3375
Address
2144 MAIN ST STE 3
Enumeration Date
4 May 2018
Last Update Date
4 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3039261796
Graduation Year
2018 (8 years ago)
PAC ID
8426303272
Group Practice PAC ID
5597915082
Professional Enrollment ID
I20180619000941
Address ID
CO800263177LA2695XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for KELSEY WISINSKI (PT, DPT)

  • Main Street, Longmont, Boulder County, Colorado, 80501-6423, United States

    LONGMONT, CO 805018403

    Phone: (303) 827-3375

    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: 2018-06-19

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
I20180619000941IPhysical Therapist In Private PracticeCOTBD

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
97140Therapy procedure using manual technique, each 15 minutes60227$0
97530Therapy procedure using functional activities56031$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23922$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11913$0
View full utilization report →

Insurance plans in this area (ZIP 80501)

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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: 5597915082View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELSEY WISINSKI (PT, DPT)?
KELSEY WISINSKI (PT, DPT) — NPI 1114416286 — is the standard way to identify this listing.
Can I rely on KELSEY WISINSKI (PT, DPT) being an active provider?
As of the registry snapshot, KELSEY WISINSKI (PT, DPT) is marked active.
What taxonomy line describes KELSEY WISINSKI (PT, DPT)?
For research purposes, treat KELSEY WISINSKI (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KELSEY WISINSKI (PT, DPT) on a map?
Expect Longmont, Colorado as a primary anchor for KELSEY WISINSKI (PT, DPT) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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