KELLY FARIS (DPT) – Physical Therapist, NPI 1417301854

KELLY FARIS (DPT) is a healthcare provider. based in Newton, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 11-05081 (KS). The NPI Number for KELLY FARIS (DPT) is 1417301854

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY FARIS (DPT)
NPI
1417301854
Phone
(785) 819-5067
Address
111 SUMMER DRIVE
Enumeration Date
22 April 2016
Last Update Date
8 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853130803
Graduation Year
2015 (11 years ago)
PAC ID
4183035082
Group Practice PAC ID
2264763598
Professional Enrollment ID
I20230321002845
Address ID
KS665429736TE4310XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for KELLY FARIS (DPT)

  • 111 SUMMER DRIVE

    NEWTON, KS 67114

    Phone: (785) 819-5067

    Type: Location

  • 2266 LINDEN DR

    SALINA, KS 674016932

    Phone: (785) 819-5067

    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: 2023-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20201125001550IPhysical Therapist In Private PracticeKSTBD
I20220315000579IPhysical Therapist In Private PracticeTXTBD
I20230321002845IPhysical Therapist In Private PracticeCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities243237$0
97161Evaluation for physical therapy, typically 20 minutes241240$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2220$0
97542Evaluation for wheelchair, each 15 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 67114)

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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: 2264763598View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeOH
Occupational Therapist In Private PracticeSD
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Does KELLY FARIS (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY FARIS (DPT) uses 1417301854.
Is KELLY FARIS (DPT) listed as active for patients and plans?
The listing shows KELLY FARIS (DPT) as active in the NPI system.
What is KELLY FARIS (DPT) best known for clinically?
Directory data describes KELLY FARIS (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does KELLY FARIS (DPT) list a practice location?
Patients near Newton, Kansas may find KELLY FARIS (DPT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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