BART M KELLNER (PT, CMPT, CSCS) – Physical Medicine & Rehabilitation Physician, NPI 1922057801

BART M KELLNER (PT, CMPT, CSCS) is a healthcare provider. based in Honolulu, Hawaii. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, CMPT, CSCS. They hold a License No. PT 1837 (HI). The NPI Number for BART M KELLNER (PT, CMPT, CSCS) is 1922057801

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
BART M KELLNER (PT, CMPT, CSCS)
NPI
1922057801
Phone
(808) 734-4043
Address
1120 12TH AVE
Enumeration Date
9 May 2006
Last Update Date
20 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8087344043
Graduation Year
1998 (28 years ago)
PAC ID
6204839541
Group Practice PAC ID
7012014046
Professional Enrollment ID
I20060807000186
Address ID
HI968163790HO1120XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

615 PHYSICAL THERAPIST IN PRIVATE PRACTICE in HI

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Provider Addresses for BART M KELLNER (PT, CMPT, CSCS)

  • 1120, 12th Avenue, Kaimuki, Honolulu, Honolulu County, Hawaii, 96816, United States

    SUITE 302

    HONOLULU, HI 968163712

    Phone: (808) 734-4043

    Fax: (808) 737-7247

    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: 2006-08-07

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
I20060807000186IPhysical Therapist In Private PracticeHITBD

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 96816)

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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: 7012014046View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

What NPI should I save for BART M KELLNER (PT, CMPT, CSCS)?
Save NPI 1922057801 if you need a stable reference for BART M KELLNER (PT, CMPT, CSCS).
Is BART M KELLNER (PT, CMPT, CSCS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BART M KELLNER (PT, CMPT, CSCS) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for BART M KELLNER (PT, CMPT, CSCS). Clinical services aligned with this taxonomy classification.
Where is BART M KELLNER (PT, CMPT, CSCS)'s primary listing?
We display Honolulu, Hawaii because that is what the record indicates for BART M KELLNER (PT, CMPT, CSCS).
Is BART M KELLNER (PT, CMPT, CSCS) a real provider?
This page reflects official NPPES data for NPI 1922057801. Always confirm identity and privileges with the practice and licensing boards.

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