STEVE LOGAN KISH (DPT) – Physical Therapist, NPI 1851053169

STEVE LOGAN KISH (DPT) is a healthcare provider. based in Macclenny, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTH10495 (AL). The NPI Number for STEVE LOGAN KISH (DPT) is 1851053169

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
STEVE LOGAN KISH (DPT)
NPI
1851053169
Phone
(904) 259-1649
Address
534 S 5TH ST STE A
Enumeration Date
13 October 2021
Last Update Date
15 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2564250300
Graduation Year
2021 (5 years ago)
PAC ID
2961891429
Group Practice PAC ID
4082697040
Professional Enrollment ID
I20211123000739
Address ID
AL358015336HU809XXSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for STEVE LOGAN KISH (DPT)

  • 534 S 5TH ST STE A

    MACCLENNY, FL 320632602

    Phone: (904) 259-1649

    Type: Mailing

  • 1267 ENTERPRISE WAY NW STE B

    HUNTSVILLE, AL 358064472

    Phone: (256) 489-3760

    Type: Mailing

  • 165 WHITESPORT DR SW STE 2

    HUNTSVILLE, AL 358017427

    Phone: (256) 489-3760

    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: 2021-11-23

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
I20211123000739IPhysical Therapist In Private PracticeALTBD

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 minutes816116$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes358104$0
97530Therapy procedure using functional activities31290$0
97140Therapy procedure using manual technique, each 15 minutes25082$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care10741$0
View full utilization report →

Insurance plans in this area (ZIP 32063)

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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: 4082697040View full group profile
NameSpecialtyState
-AL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-AL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

Can I use this page to confirm STEVE LOGAN KISH (DPT)'s NPI?
Yes. STEVE LOGAN KISH (DPT) is listed with NPI 1851053169 in the public NPI dataset.
Does CMS list STEVE LOGAN KISH (DPT) as active?
Yes — STEVE LOGAN KISH (DPT) is active in the NPI listing used on this page.
What taxonomy line describes STEVE LOGAN KISH (DPT)?
For research purposes, treat STEVE LOGAN KISH (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for STEVE LOGAN KISH (DPT)?
STEVE LOGAN KISH (DPT)'s geographic hint is Macclenny, Florida in our summary view.
Is the information about STEVE LOGAN KISH (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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