CHARLES J KULL (PT, DPT) – Physical Therapist, NPI 1033466586

CHARLES J KULL (PT, DPT) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA01448800 (NJ). The NPI Number for CHARLES J KULL (PT, DPT) is 1033466586

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES J KULL (PT, DPT)
NPI
1033466586
Phone
(973) 714-3886
Address
15999 MANDOLIN BAY DR
Enumeration Date
14 August 2012
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7165231783
Graduation Year
2012 (14 years ago)
PAC ID
6800043530
Group Practice PAC ID
4688016272
Professional Enrollment ID
I20141022002494
Address ID
FL336024136TA802XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for CHARLES J KULL (PT, DPT)

  • 15999 MANDOLIN BAY DR

    APT D204

    FORT MYERS, FL 339082557

    Phone: (973) 714-3886

    Type: Mailing

  • 10201 ARCOS AVE STE 206

    ESTERO, FL 339289461

    Phone: (239) 482-3110

    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: 2014-10-22

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
I20141022002494IPhysical 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 33908)

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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: 4688016272View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational 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

What is CHARLES J KULL (PT, DPT)'s NPI number?
CHARLES J KULL (PT, DPT)'s NPI is 1033466586 — the number used across U.S. healthcare to identify this provider.
Is there an active status for CHARLES J KULL (PT, DPT)?
For scheduling context, CHARLES J KULL (PT, DPT) is shown as active in the registry.
How would a patient describe CHARLES J KULL (PT, DPT)'s focus?
For CHARLES J KULL (PT, DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHARLES J KULL (PT, DPT)?
Travel planning: use Fort Myers, Florida as the reference point for CHARLES J KULL (PT, DPT), then confirm.
When was this NPI issued?
Enumeration for CHARLES J KULL (PT, DPT) is noted as August 14, 2012 where the registry provides it.

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