KALEB GRIFFEL (DPT PT) – Physical Therapist, NPI 1023728862

KALEB GRIFFEL (DPT PT) is a healthcare provider. based in St augustine, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT PT. They hold a License No. PT39591 (FL). The NPI Number for KALEB GRIFFEL (DPT PT) is 1023728862

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
KALEB GRIFFEL (DPT PT)
NPI
1023728862
Phone
(904) 907-1122
Address
209 Blackford Way
Enumeration Date
2 December 2022
Last Update Date
2 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864464101
Graduation Year
2022 (4 years ago)
PAC ID
6204201155
Group Practice PAC ID
5294977666
Professional Enrollment ID
I20230407000838
Address ID
FL321374764PA360XXEXXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KALEB GRIFFEL (DPT PT)

  • 209 Blackford Way

    St Augustine, FL 320861882

    Phone: (904) 907-1122

    Fax: (904) 907-1123

    Type: Location

  • 1 UNIVERSITY BLVD

    ST AUGUSTINE, FL 320865799

    Phone: (904) 829-3411

    Fax: (904) 829-3412

    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: 2023-04-07

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
I20230407000838IPhysical 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.

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 minutes46840$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40340$0
97140Therapy procedure using manual technique, each 15 minutes36746$0
97535Training for self-care or home management, each 15 minutes8846$0
97116Therapy procedure for walking training, each 15 minutes8719$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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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: 5294977666View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do payers reference KALEB GRIFFEL (DPT PT)?
For KALEB GRIFFEL (DPT PT), use NPI 1023728862 as the unique 10-digit identifier.
Is KALEB GRIFFEL (DPT PT) shown as active in public data?
Registry records indicate KALEB GRIFFEL (DPT PT) maintains an active NPI.
What clinical focus is listed for KALEB GRIFFEL (DPT PT)?
At a glance, KALEB GRIFFEL (DPT PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KALEB GRIFFEL (DPT PT)?
Travel planning: use St Augustine, Florida as the reference point for KALEB GRIFFEL (DPT PT), then confirm.
Can I trust this NPI listing for KALEB GRIFFEL (DPT PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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