KEVIN VALLEDOR (DPT) – Physical Therapist, NPI 1942194543

KEVIN VALLEDOR (DPT) is a healthcare provider. based in Miami, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for KEVIN VALLEDOR (DPT) is 1942194543

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
KEVIN VALLEDOR (DPT)
NPI
1942194543
Phone
(786) 761-1107
Address
9495 SW 72ND ST # B120
Enumeration Date
6 June 2025
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7863322672
Graduation Year
2025 (1 year ago)
PAC ID
5991292203
Group Practice PAC ID
8628351954
Professional Enrollment ID
I20251013000013
Address ID
FL331733253MI9495XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience22
Completeness75
Years active:1State licenses:0Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KEVIN VALLEDOR (DPT)

  • 9495 SW 72ND ST # B120

    MIAMI, FL 331733253

    Phone: (786) 761-1107

    Fax: (786) 369-7054

    Type: Mailing

  • 8725 NW 18TH TER STE 101

    DORAL, FL 331722629

    Phone: (786) 761-1107

    Fax: (786) 369-7054

    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: 2025-10-13

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
I20251013000013IPhysical 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 33173)

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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: 8628351954View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I verify KEVIN VALLEDOR (DPT) with an NPI only?
You can start verification with NPI 1942194543 for KEVIN VALLEDOR (DPT), then check state licensing separately.
Is KEVIN VALLEDOR (DPT) still practicing?
KEVIN VALLEDOR (DPT) is currently listed as active in the public NPI registry.
What is KEVIN VALLEDOR (DPT)'s specialty?
The listing groups KEVIN VALLEDOR (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for KEVIN VALLEDOR (DPT)?
KEVIN VALLEDOR (DPT)'s geographic hint is Miami, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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