KAYLA JEANNE STADIUS (PT, DPT, EP-C) – Physical Therapist, NPI 1003420068
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for KAYLA JEANNE STADIUS (PT, DPT, EP-C)
6800 SOUTHPOINT PKWY STE 300
JACKSONVILLE, FL 322168203
Phone: (904) 634-0640
Type: Mailing
3055 COUNTY ROAD 210 W STE 110
ST JOHNS, FL 322597001
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
5437 SHORTSVILLE RD
SHORTSVILLE, NY 145489731
Phone: (585) 490-2610
Type: Mailing
710 3RD ST N
JACKSONVILLE BEACH, FL 322507149
Phone: (904) 201-9829
Type: Location
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 320864202
Phone: (585) 490-2610
Type: Mailing
4565 US Highway 17 Ste 200
Fleming Island, FL 320034823
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 320826600
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
216 Southpark Cir E Ste 216
St Augustine, FL 320865135
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2627 Riverside Ave Ste 300
Jacksonville, FL 322044717
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 305
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
1690 US Highway 1 S Ste F
St Augustine, FL 320846024
Phone: (904) 634-0640
Fax: (904) 634-0203
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: 2020-09-28
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 |
|---|---|---|---|---|
| I20200928000674 | I | Physical Therapist In Private Practice | FL | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,669 | 238 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 1,037 | 193 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 155 | 143 | $0 |
| 97530 | Therapy procedure using functional activities | 60 | 33 | $0 |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | 52 | 42 | $0 |
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | AL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TN |
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