MS. CHERYL J WYNN (DPT) – Physical Therapist, NPI 1093811614

MS. CHERYL J WYNN (DPT) is a healthcare provider. based in Daytona beach, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT21482 (FL). The NPI Number for MS. CHERYL J WYNN (DPT) is 1093811614

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHERYL J WYNN (DPT)
NPI
1093811614
Phone
(386) 257-2672
Address
100 PROFESSIONAL BLVD
Enumeration Date
15 September 2006
Last Update Date
12 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048293411
Graduation Year
2004 (22 years ago)
PAC ID
6103801220
Group Practice PAC ID
9436255973
Professional Enrollment ID
I20040622001729
Address ID
FL320866191ST2630X1XXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MS. CHERYL J WYNN (DPT)

  • 100, Professional Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 32114

    Phone: (386) 257-2672

    Fax: (386) 252-1005

    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: 2004-06-22

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
I20040622001729IPhysical 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 minutes1,28969$0
97140Therapy procedure using manual technique, each 15 minutes81364$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes67963$0
97530Therapy procedure using functional activities33752$0
97116Therapy procedure for walking training, each 15 minutes5821$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Provider's Procedures

MS. CHERYL J WYNN (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes153087
PHYSICAL THERAPYFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes161486

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: 9436255973View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeKY
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 MS. CHERYL J WYNN (DPT)?
For MS. CHERYL J WYNN (DPT), use NPI 1093811614 as the unique 10-digit identifier.
Would MS. CHERYL J WYNN (DPT) appear as active to a payer?
You can treat MS. CHERYL J WYNN (DPT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MS. CHERYL J WYNN (DPT)?
MS. CHERYL J WYNN (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Florida is MS. CHERYL J WYNN (DPT) registered?
Use Daytona Beach, Florida as the headline location for MS. CHERYL J WYNN (DPT) here.
When was this NPI issued?
Enumeration for MS. CHERYL J WYNN (DPT) is noted as September 15, 2006 where the registry provides it.

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