MR. BERT RYAN REITSMA (PT) – Physical Therapist, NPI 1760557094

MR. BERT RYAN REITSMA (PT) is a healthcare provider. based in Chipley, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2421 (MN). The NPI Number for MR. BERT RYAN REITSMA (PT) is 1760557094

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. BERT RYAN REITSMA (PT)
NPI
1760557094
Phone
(850) 638-3387
Address
1567 MAIN ST
Enumeration Date
21 November 2006
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
8506383387105
Graduation Year
1982 (44 years ago)
PAC ID
7012990583
Group Practice PAC ID
1355319377
Professional Enrollment ID
I20040608000396
Address ID
FL324286948CH1567XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MR. BERT RYAN REITSMA (PT)

  • 1567 MAIN ST

    CHIPLEY, FL 324286948

    Phone: (850) 638-3387

    Fax: (850) 415-1967

    Type: Location

  • 32 Howell Bluff Rd

    Ponce DE Leon, FL 324554632

    Phone: (941) 228-9134

    Type: Location

  • 6050 JIM DAVIS RD

    PARRISH, FL 342199363

    Phone: (941) 228-9134

    Type: Mailing

  • 32 HOWELL BLUFF RD

    PONCE DE LEON, FL 324554632

    Phone: (941) 228-9134

    Type: Mailing

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: 2004-06-08

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
I20040608000396IPhysical 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 32428)

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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: 1355319377View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What number should I use to identify MR. BERT RYAN REITSMA (PT) for billing?
Administrative and clinical systems typically use NPI 1760557094 for MR. BERT RYAN REITSMA (PT).
Should I treat MR. BERT RYAN REITSMA (PT) as an active provider?
Patients and plans typically see MR. BERT RYAN REITSMA (PT) as active in the national extract.
What services align with MR. BERT RYAN REITSMA (PT)'s listing?
MR. BERT RYAN REITSMA (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. BERT RYAN REITSMA (PT)?
The directory associates MR. BERT RYAN REITSMA (PT) with Chipley, Florida. Check all listed addresses for suites or satellite offices.
Who maintains MR. BERT RYAN REITSMA (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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