BRILEY K SERLETIC (DPT) – Physical Therapist, NPI 1043042955

BRILEY K SERLETIC (DPT) is a healthcare provider. based in Evansville, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 05015668A (IN). The NPI Number for BRILEY K SERLETIC (DPT) is 1043042955

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
BRILEY K SERLETIC (DPT)
NPI
1043042955
Phone
(812) 461-6716
Address
201 SE 4TH STREET
Enumeration Date
19 August 2024
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124616716
Graduation Year
2024 (2 years ago)
PAC ID
8729527312
Group Practice PAC ID
2961818398
Professional Enrollment ID
I20240827003240
Address ID
IN477131201EV201XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for BRILEY K SERLETIC (DPT)

  • 201 SE 4TH STREET

    SUITE 150

    EVANSVILLE, IN 477131350

    Phone: (812) 461-6716

    Fax: (812) 402-1250

    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: 2024-08-27

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
I20240827003240IPhysical Therapist In Private PracticeINTBD

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 47713)

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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: 2961818398View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Clinical Social WorkerIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What unique ID ties claims to BRILEY K SERLETIC (DPT)?
NPI 1043042955 is assigned to BRILEY K SERLETIC (DPT) under the national enumeration system.
Is BRILEY K SERLETIC (DPT) active in the national directory?
BRILEY K SERLETIC (DPT)'s public NPI profile is in an active state.
Does BRILEY K SERLETIC (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for BRILEY K SERLETIC (DPT). Clinical services aligned with this taxonomy classification.
Where is BRILEY K SERLETIC (DPT)'s primary listing?
We display Evansville, Indiana because that is what the record indicates for BRILEY K SERLETIC (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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