JEREMY KOONTZ (PT) – Physical Therapist, NPI 1023749546

JEREMY KOONTZ (PT) is a healthcare provider. based in Nicholasville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 17314 (TN). The NPI Number for JEREMY KOONTZ (PT) is 1023749546

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY KOONTZ (PT)
NPI
1023749546
Phone
(859) 544-1762
Address
602 Keene Centre Dr
Enumeration Date
24 June 2022
Last Update Date
2 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592190211
Graduation Year
2022 (4 years ago)
PAC ID
1052794450
Group Practice PAC ID
4284860966
Professional Enrollment ID
I20220817004041
Address ID
KY405131892LE1010XSTXX301
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for JEREMY KOONTZ (PT)

  • 602 Keene Centre Dr

    Nicholasville, KY 403561495

    Phone: (859) 544-1762

    Type: Location

  • PO BOX 306393

    NASHVILLE, TN 372306393

    Phone:

    Type: Mailing

  • 602 KEENE CENTRE DR

    NICHOLASVILLE, KY 403561495

    Phone: (859) 544-1762

    Type: Location

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 238-7217

    Type: Mailing

  • 1010 MONARCH ST STE 150

    LEXINGTON, KY 405131892

    Phone: (859) 219-0211

    Type: Location

  • 2659 8th Ave S

    Nashville, TN 372042483

    Phone: (615) 283-9009

    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: 2022-08-17

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
I20220817004041IPhysical Therapist In Private PracticeKYTBD

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 activities39827$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39626$0
97140Therapy procedure using manual technique, each 15 minutes24423$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24124$0
97150Therapy procedure in a group setting10923$0
View full utilization report →

Insurance plans in this area (ZIP 40356)

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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: 4284860966View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
-KY
Physical Therapist In Private PracticeKY
-TN
Physical Therapist In Private PracticeKY
-KY
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

How do I look up JEREMY KOONTZ (PT) by NPI?
Use NPI 1023749546 when you need to reference JEREMY KOONTZ (PT) in forms, claims, or directories.
Is JEREMY KOONTZ (PT)'s NPI currently valid?
The extract we use shows JEREMY KOONTZ (PT) as active.
What kind of provider is JEREMY KOONTZ (PT)?
The page reflects Physical Therapist for JEREMY KOONTZ (PT). Clinical services aligned with this taxonomy classification.
Where is JEREMY KOONTZ (PT)'s primary listing?
We display Nicholasville, Kentucky because that is what the record indicates for JEREMY KOONTZ (PT).
How can I contact JEREMY KOONTZ (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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