MRS. KRISTIE P LEVERENZ (PT) – Physical Therapist, NPI 1477732220

MRS. KRISTIE P LEVERENZ (PT) is a healthcare provider. based in Blue grass, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for MRS. KRISTIE P LEVERENZ (PT) is 1477732220

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIE P LEVERENZ (PT)
NPI
1477732220
Phone
(563) 343-4730
Address
7411 112TH ST
Enumeration Date
29 October 2007
Last Update Date
29 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
1998 (28 years ago)
PAC ID
3678063484
Group Practice PAC ID
5193119733
Professional Enrollment ID
I20251108000255
Address ID
IA502119736NO2901XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MRS. KRISTIE P LEVERENZ (PT)

  • 7411 112TH ST

    BLUE GRASS, IA 527269121

    Phone: (563) 343-4730

    Type: Mailing

  • 1209, 21st Avenue, Wheelock Veile Neighborhood, Moline, Rock Island County, Illinois, 61265, United States

    ROCK ISLAND, IL 612017900

    Phone: (563) 343-4730

    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: 2025-12-12

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
I20251108000255IPhysical Therapist In Private PracticeIATBD
I20251212002827IPhysical 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 52726)

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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: 5193119733View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Is MRS. KRISTIE P LEVERENZ (PT) listed with a National Provider Identifier?
Yes — MRS. KRISTIE P LEVERENZ (PT) has NPI 1477732220 on file in the registry.
Would MRS. KRISTIE P LEVERENZ (PT) appear as active to a payer?
You can treat MRS. KRISTIE P LEVERENZ (PT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. KRISTIE P LEVERENZ (PT)?
MRS. KRISTIE P LEVERENZ (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. KRISTIE P LEVERENZ (PT)?
Directory geography for MRS. KRISTIE P LEVERENZ (PT) centers on Blue Grass, Iowa.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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