CADE STEVEN KELLEY (DPT) – Physical Therapist, NPI 1528808102

CADE STEVEN KELLEY (DPT) is a healthcare provider. based in Rexburg, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-9180 (ID). The NPI Number for CADE STEVEN KELLEY (DPT) is 1528808102

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
CADE STEVEN KELLEY (DPT)
NPI
1528808102
Phone
(208) 359-2500
Address
1 PROFESSIONAL PLZ
Enumeration Date
30 May 2024
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083592500
Graduation Year
2024 (2 years ago)
PAC ID
8628592896
Group Practice PAC ID
2567684640
Professional Enrollment ID
I20250409001130
Address ID
ID834402024RE1XXXXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for CADE STEVEN KELLEY (DPT)

  • 1 PROFESSIONAL PLZ

    REXBURG, ID 834402024

    Phone: (208) 359-2500

    Fax: (208) 359-2502

    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: 2025-04-09

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
I20250409001130IPhysical Therapist In Private PracticeIDTBD

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 83440)

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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: 2567684640View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Certified Clinical Nurse Specialist (Cns)CO

Reviews

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Frequently asked questions

What is the standard ID for CADE STEVEN KELLEY (DPT) in the U.S.?
In the U.S., CADE STEVEN KELLEY (DPT) is identified by NPI 1528808102.
Does the public listing show CADE STEVEN KELLEY (DPT) as active?
CADE STEVEN KELLEY (DPT)'s NPI record reflects an active status in NPPES.
What type of care does CADE STEVEN KELLEY (DPT) provide?
CADE STEVEN KELLEY (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CADE STEVEN KELLEY (DPT)?
CADE STEVEN KELLEY (DPT) is associated with Rexburg, Idaho in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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