MR. EDWARD L III VALENTINE (PT) – Physical Therapist, NPI 1104928969

MR. EDWARD L III VALENTINE (PT) is a healthcare provider. based in London, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 004527 (KY). The NPI Number for MR. EDWARD L III VALENTINE (PT) is 1104928969

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. EDWARD L III VALENTINE (PT)
NPI
1104928969
Phone
(606) 657-5111
Address
195 COMMERCIAL DR
Enumeration Date
2 September 2006
Last Update Date
11 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065247818
Graduation Year
2003 (23 years ago)
PAC ID
8820147796
Group Practice PAC ID
6507106812
Professional Enrollment ID
I20090526000041
Address ID
KY407445234LO195XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

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Provider Addresses for MR. EDWARD L III VALENTINE (PT)

  • Commercial Drive, Sublimity City, London, Laurel County, Kentucky, 40741, United States

    STE 100

    LONDON, KY 407445234

    Phone: (606) 657-5111

    Fax: (606) 657-2354

    Type: Mailing

  • 100, Commercial Drive, London, Laurel County, Kentucky, 40744, United States

    LONDON, KY 407445234

    Phone: (606) 657-5111

    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: 2009-05-26

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
I20090526000041IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,28878$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43639$0
97140Therapy procedure using manual technique, each 15 minutes35542$0
97116Therapy procedure for walking training, each 15 minutes13515$0
97530Therapy procedure using functional activities10625$0
View full utilization report →

Insurance plans in this area (ZIP 40744)

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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: 6507106812View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

What is the registry number for MR. EDWARD L III VALENTINE (PT)?
The registry entry for MR. EDWARD L III VALENTINE (PT) shows NPI 1104928969.
Is MR. EDWARD L III VALENTINE (PT) currently accepting referrals based on NPI status?
Registry metadata lists MR. EDWARD L III VALENTINE (PT) as active.
What type of care does MR. EDWARD L III VALENTINE (PT) provide?
MR. EDWARD L III VALENTINE (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. EDWARD L III VALENTINE (PT)?
MR. EDWARD L III VALENTINE (PT) shows a connection to London, Kentucky in registry-derived data.
Can I export MR. EDWARD L III VALENTINE (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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