MARC EVERETT WYNSTRA (DPT) – Physical Therapist, NPI 1205487857

MARC EVERETT WYNSTRA (DPT) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for MARC EVERETT WYNSTRA (DPT) is 1205487857

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MARC EVERETT WYNSTRA (DPT)
NPI
1205487857
Phone
(859) 264-0512
Address
1868 PLAUDIT PL STE B
Enumeration Date
25 September 2019
Last Update Date
25 September 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8592640512
Graduation Year
2018 (8 years ago)
PAC ID
2860724341
Group Practice PAC ID
6507132107
Professional Enrollment ID
I20191101002494
Address ID
KY405092429LE1868XPLXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

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Provider Addresses for MARC EVERETT WYNSTRA (DPT)

  • Plaudit Place, Brighton, Lexington, Fayette County, Kentucky, 40509, United States

    LEXINGTON, KY 405092429

    Phone: (859) 264-0512

    Fax: (859) 264-0595

    Mailing address matches the actual address.

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: 2019-11-01

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
I20191101002494IPhysical 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 activities99258$0
97140Therapy procedure using manual technique, each 15 minutes35151$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14328$0
97162Evaluation for physical therapy, typically 30 minutes2624$0
View full utilization report →

Insurance plans in this area (ZIP 40509)

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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: 6507132107View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
-KY
-KY

Reviews

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Frequently asked questions

Does MARC EVERETT WYNSTRA (DPT) have a public NPI I can cite?
Public records show MARC EVERETT WYNSTRA (DPT) under NPI 1205487857.
Does the public listing show MARC EVERETT WYNSTRA (DPT) as active?
MARC EVERETT WYNSTRA (DPT)'s NPI record reflects an active status in NPPES.
What does the directory say MARC EVERETT WYNSTRA (DPT) does?
Insurance directories may phrase it differently, but here MARC EVERETT WYNSTRA (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MARC EVERETT WYNSTRA (DPT)?
MARC EVERETT WYNSTRA (DPT) shows a connection to Lexington, Kentucky in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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