DR. CARLY RITTER (PT, DPT, OCS) – Orthopedic Physical Therapist, NPI 1376072967

DR. CARLY RITTER (PT, DPT, OCS) is a healthcare provider. based in Kokomo, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, OCS. They hold a License No. 05012453A (IN). The NPI Number for DR. CARLY RITTER (PT, DPT, OCS) is 1376072967

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLY RITTER (PT, DPT, OCS)
NPI
1376072967
Phone
(765) 416-6630
Address
2302 S Dixon Rd Ste 150
Enumeration Date
7 June 2017
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8032203655
Graduation Year
2017 (9 years ago)
PAC ID
6608103718
Group Practice PAC ID
3971653064
Professional Enrollment ID
I20241213002576
Address ID
SC298036038AI550XXRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for DR. CARLY RITTER (PT, DPT, OCS)

  • 2302 S Dixon Rd Ste 150

    Kokomo, IN 469026427

    Phone: (765) 416-6630

    Fax: (765) 416-6629

    Type: Location

  • Harper Avenue, Saint Clair Shores, Clinton Township, Macomb County, Michigan, 48036, United States

    CLINTON TOWNSHIP, MI 480354258

    Phone: (586) 350-2644

    Fax: (586) 547-3735

    Type: Mailing

  • 150, South Dixon Road, Sycamore Village, Kokomo, Howard County, Indiana, 46901, United States

    KOKOMO, IN 469026427

    Phone: (765) 416-6630

    Fax: (765) 416-6629

    Type: Location

  • 811 SPECKLED TEAL PATH

    AIKEN, SC 298036357

    Phone: (765) 398-4030

    Type: Mailing

  • 550 SILVER BLUFF RD STE 600-700

    AIKEN, SC 298036021

    Phone: (803) 220-3655

    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: 2024-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190813001165IPhysical Therapist In Private PracticeINTBD
I20241213002576IPhysical Therapist In Private PracticeSCTBD

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 46902)

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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: 3971653064View full group profile
NameSpecialtyState
-SC
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What federal number belongs to DR. CARLY RITTER (PT, DPT, OCS)?
The federal identifier for DR. CARLY RITTER (PT, DPT, OCS) is NPI 1376072967.
Is DR. CARLY RITTER (PT, DPT, OCS) active in the national directory?
DR. CARLY RITTER (PT, DPT, OCS)'s public NPI profile is in an active state.
Can you summarize DR. CARLY RITTER (PT, DPT, OCS)'s specialty in plain language?
Clinically, the directory lists DR. CARLY RITTER (PT, DPT, OCS) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for DR. CARLY RITTER (PT, DPT, OCS)?
We surface Kokomo, Indiana for DR. CARLY RITTER (PT, DPT, OCS) based on available NPPES addresses.
What if Kokomo, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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