KRISTOFER M KENDRICK (PT, DPT, ATC) – Physical Therapist, NPI 1891055059

KRISTOFER M KENDRICK (PT, DPT, ATC) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, ATC. They hold a License No. 006434 (KY). The NPI Number for KRISTOFER M KENDRICK (PT, DPT, ATC) is 1891055059

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOFER M KENDRICK (PT, DPT, ATC)
NPI
1891055059
Phone
(859) 271-2887
Address
4101 TATES CREEK CENTRE DR STE 144
Enumeration Date
22 May 2012
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592635140
Graduation Year
2012 (14 years ago)
PAC ID
5294983060
Group Practice PAC ID
4789988981
Professional Enrollment ID
I20220503002307
Address ID
KY405092513LE3401XPARK400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for KRISTOFER M KENDRICK (PT, DPT, ATC)

  • 4101 TATES CREEK CENTRE DR STE 144

    LEXINGTON, KY 405173068

    Phone: (859) 271-2887

    Fax: (859) 271-2889

    Type: Mailing

  • 3480 YORKSHIRE MEDICAL PARK

    LEXINGTON, KY 405091886

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Mailing

  • 3401 YORKSHIRE MEDICAL PARK # PSC

    LEXINGTON, KY 405092513

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 3480 Yorkshire Medical Park

    Lexington, KY 405091886

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1760 Harrodsburg Rd

    Lexington, KY 405043602

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 850 Hail Knob Rd Ste B

    Somerset, KY 425033418

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 111 Cynthia Dr Ste 139

    Nicholasville, KY 403568062

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 145 Newcomb Ave

    Mount Vernon, KY 404562728

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1868 Plaudit Pl

    Lexington, KY 405092429

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 101 Windsor Path

    Georgetown, KY 403249617

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 195 Commercial Dr

    London, KY 407448234

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 2045 Lantern Ridge Dr

    Richmond, KY 404756010

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    Type: Location

  • 1350 Flemingsburg Rd

    Morehead, KY 403511810

    Phone: (859) 263-5140

    Fax: (859) 263-5141

    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: 2022-05-03

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
I20220503002307IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes15011$0
97530Therapy procedure using functional activities14213$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8511$0
View full utilization report →

Insurance plans in this area (ZIP 40517)

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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: 4789988981View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Orthopedic SurgeryKY
-KY
Physical Therapist In Private PracticeKY
Physician AssistantKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

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Frequently asked questions

What identifier follows KRISTOFER M KENDRICK (PT, DPT, ATC) across health systems?
The NPI 1891055059 uniquely identifies KRISTOFER M KENDRICK (PT, DPT, ATC) in U.S. healthcare data.
Is KRISTOFER M KENDRICK (PT, DPT, ATC)'s NPI status active today?
Active status means KRISTOFER M KENDRICK (PT, DPT, ATC)'s NPI record is not deactivated in the public file.
Which specialty label fits KRISTOFER M KENDRICK (PT, DPT, ATC)?
NPPES ties KRISTOFER M KENDRICK (PT, DPT, ATC) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KRISTOFER M KENDRICK (PT, DPT, ATC)?
The directory associates KRISTOFER M KENDRICK (PT, DPT, ATC) with Lexington, Kentucky. Check all listed addresses for suites or satellite offices.
Who maintains KRISTOFER M KENDRICK (PT, DPT, ATC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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