KAITLIN JEANIS (DPT) – Physical Therapist, NPI 1023625175

KAITLIN JEANIS (DPT) is a healthcare provider. based in Tallahassee, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 36381 (FL). The NPI Number for KAITLIN JEANIS (DPT) is 1023625175

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN JEANIS (DPT)
NPI
1023625175
Phone
(337) 489-6371
Address
2626 E PARK AVE APT 4302
Enumeration Date
23 September 2020
Last Update Date
23 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507416715
Graduation Year
2020 (6 years ago)
PAC ID
6305322173
Group Practice PAC ID
6305258013
Professional Enrollment ID
I20260112001305
Address ID
FL323080562TA2110XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KAITLIN JEANIS (DPT)

  • 2626 E PARK AVE APT 4302

    TALLAHASSEE, FL 323010805

    Phone: (337) 489-6371

    Type: Mailing

  • 3101 GINGER DR

    TALLAHASSEE, FL 323084437

    Phone: (850) 877-2177

    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: 2026-01-12

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
I20260112001305IPhysical Therapist In Private PracticeFLTBD

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 32301)

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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: 6305258013View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeLA
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeRI

Reviews

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Frequently asked questions

What unique ID ties claims to KAITLIN JEANIS (DPT)?
NPI 1023625175 is assigned to KAITLIN JEANIS (DPT) under the national enumeration system.
Does this profile mean KAITLIN JEANIS (DPT) is currently active?
Yes — KAITLIN JEANIS (DPT) appears active in the national provider directory.
Does KAITLIN JEANIS (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for KAITLIN JEANIS (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for KAITLIN JEANIS (DPT)?
The page summarizes Tallahassee, Florida for KAITLIN JEANIS (DPT); expand the address list for detail.
What if Tallahassee, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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