STEPHANIE S. MATHIS (R.P.T.) – Physical Therapist, NPI 1578865242

STEPHANIE S. MATHIS (R.P.T.) is a healthcare provider. based in Overland park, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials R.P.T.. They hold a License No. 1103592 (KS). The NPI Number for STEPHANIE S. MATHIS (R.P.T.) is 1578865242

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE S. MATHIS (R.P.T.)
NPI
1578865242
Phone
(913) 449-0178
Address
14104 GILLETTE ST
Enumeration Date
1 December 2010
Last Update Date
1 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012569997
Graduation Year
2005 (21 years ago)
PAC ID
6901299569
Group Practice PAC ID
0749660801
Professional Enrollment ID
I20241108000832
Address ID
FL339283243ES21208RUNX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for STEPHANIE S. MATHIS (R.P.T.)

  • 14104 GILLETTE ST

    OVERLAND PARK, KS 662212848

    Phone: (913) 449-0178

    Type: Location

  • PO BOX 4103

    OVERLAND PARK, KS 662040103

    Phone:

    Type: Mailing

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: 2024-11-08

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
I20220208000647IPhysical Therapist In Private PracticeKSTBD
I20241108000832IPhysical Therapist In Private PracticeFLTBD

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 66221)

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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: 0749660801View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I cross-check STEPHANIE S. MATHIS (R.P.T.) using NPI 1578865242?
NPI 1578865242 belongs to STEPHANIE S. MATHIS (R.P.T.); compare other details if you need extra assurance.
Is STEPHANIE S. MATHIS (R.P.T.) shown as active in public data?
Registry records indicate STEPHANIE S. MATHIS (R.P.T.) maintains an active NPI.
What expertise is attributed to STEPHANIE S. MATHIS (R.P.T.)?
STEPHANIE S. MATHIS (R.P.T.)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE S. MATHIS (R.P.T.)?
Travel planning: use Overland Park, Kansas as the reference point for STEPHANIE S. MATHIS (R.P.T.), then confirm.
When was this NPI issued?
Enumeration for STEPHANIE S. MATHIS (R.P.T.) is noted as December 1, 2010 where the registry provides it.

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