MS. KATHRYN L DOTY (MPT) – Physical Therapist, NPI 1124340658

MS. KATHRYN L DOTY (MPT) is a healthcare provider. based in Swansea, Illinois. specializing in Physical Therapist. They hold the professional credentials MPT. They hold a License No. 070.017538 (IL). The NPI Number for MS. KATHRYN L DOTY (MPT) is 1124340658

Main info

Female
17 Years Of Experience
Name
MS. KATHRYN L DOTY (MPT)
NPI
1124340658
Phone
(618) 235-6814
Address
15 BRONZE POINTE N
Enumeration Date
25 February 2010
Last Update Date
2 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144857979
Graduation Year
2009 (17 years ago)
PAC ID
0648539395
Group Practice PAC ID
2365718277
Professional Enrollment ID
I20180125002264
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MS. KATHRYN L DOTY (MPT)

  • 15 BRONZE POINTE N

    STE. B

    SWANSEA, IL 622261197

    Phone: (618) 235-6814

    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: 2018-01-25

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
I20180125002264IPhysical Therapist In Private PracticeILTBD

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 62226)

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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: 2365718277View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeNY
-MO
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIN
Physical Therapist In Private PracticeMI
Qualified Speech Language PathologistIN
Qualified Speech Language PathologistIN

Reviews

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Frequently asked questions

What NPI should I save for MS. KATHRYN L DOTY (MPT)?
Save NPI 1124340658 if you need a stable reference for MS. KATHRYN L DOTY (MPT).
Is MS. KATHRYN L DOTY (MPT)'s NPI currently valid?
The extract we use shows MS. KATHRYN L DOTY (MPT) as active.
Does MS. KATHRYN L DOTY (MPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MS. KATHRYN L DOTY (MPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. KATHRYN L DOTY (MPT)?
The page summarizes Swansea, Illinois for MS. KATHRYN L DOTY (MPT); expand the address list for detail.
How can I contact MS. KATHRYN L DOTY (MPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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