KATRINA ANN GREVENGOED (DPT) – Physical Therapist, NPI 1457131518

KATRINA ANN GREVENGOED (DPT) is a healthcare provider. based in Iowa city, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 117763 (IA). The NPI Number for KATRINA ANN GREVENGOED (DPT) is 1457131518

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATRINA ANN GREVENGOED (DPT)
NPI
1457131518
Phone
(712) 541-4612
Address
1802 CALVIN CT APT 7
Enumeration Date
4 October 2023
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7125461718
Graduation Year
2022 (4 years ago)
PAC ID
0547619744
Group Practice PAC ID
3375617962
Professional Enrollment ID
I20231213002838
Address ID
IA510313757LE789XXDRXX300
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

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for KATRINA ANN GREVENGOED (DPT)

  • 1802 CALVIN CT APT 7

    IOWA CITY, IA 522463107

    Phone: (712) 541-4612

    Type: Mailing

  • 789 HOLTON DR

    LE MARS, IA 510313757

    Phone: (712) 546-1718

    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: 2023-12-13

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
I20231213002838IPhysical Therapist In Private PracticeIATBD

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 52246)

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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: 3375617962View full group profile
NameSpecialtyState
-IA
Physical Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
-SD
-IA

Reviews

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Frequently asked questions

Can I use this page to confirm KATRINA ANN GREVENGOED (DPT)'s NPI?
Yes. KATRINA ANN GREVENGOED (DPT) is listed with NPI 1457131518 in the public NPI dataset.
Is KATRINA ANN GREVENGOED (DPT) still practicing?
KATRINA ANN GREVENGOED (DPT) is currently listed as active in the public NPI registry.
What is KATRINA ANN GREVENGOED (DPT)'s specialty?
The listing groups KATRINA ANN GREVENGOED (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does KATRINA ANN GREVENGOED (DPT) serve?
KATRINA ANN GREVENGOED (DPT)'s listing highlights Iowa City, Iowa; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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