DIRK KOKMEYER (PT, SCS, COMT) – Physical Therapist, NPI 1093980484

DIRK KOKMEYER (PT, SCS, COMT) is a healthcare provider. based in Brunswick, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, SCS, COMT. They hold a License No. PT4610 (ME). The NPI Number for DIRK KOKMEYER (PT, SCS, COMT) is 1093980484

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DIRK KOKMEYER (PT, SCS, COMT)
NPI
1093980484
Phone
(207) 721-8411
Address
22 STATION AVE
Enumeration Date
25 April 2008
Last Update Date
8 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2072136262
Graduation Year
2012 (14 years ago)
PAC ID
7517033152
Group Practice PAC ID
5496118259
Professional Enrollment ID
I20160229001913
Address ID
ME043304870AU46XXXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:18State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

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Provider Addresses for DIRK KOKMEYER (PT, SCS, COMT)

  • Brunswick, 22, Station Avenue, Brunswick, Cumberland County, Maine, 04011, United States

    BRUNSWICK, ME 040112092

    Phone: (207) 721-8411

    Type: Location

  • 22 STATION AVE STE 201

    BRUNSWICK, ME 040112092

    Phone: (207) 721-8411

    Type: Location

  • Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Fax: (207) 482-7898

    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: 2016-02-29

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
I20160229001913IPhysical Therapist In Private PracticeMETBD

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 minutes19330$0
97140Therapy procedure using manual technique, each 15 minutes10314$0
97161Evaluation for physical therapy, typically 20 minutes2725$0
View full utilization report →

Insurance plans in this area (ZIP 04011)

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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: 5496118259View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

Can I verify DIRK KOKMEYER (PT, SCS, COMT) with an NPI only?
You can start verification with NPI 1093980484 for DIRK KOKMEYER (PT, SCS, COMT), then check state licensing separately.
Is DIRK KOKMEYER (PT, SCS, COMT) still practicing?
DIRK KOKMEYER (PT, SCS, COMT) is currently listed as active in the public NPI registry.
What is DIRK KOKMEYER (PT, SCS, COMT)'s primary classification?
Physical Therapist is the headline specialty for DIRK KOKMEYER (PT, SCS, COMT) here. Clinical services aligned with this taxonomy classification.
Where should I expect DIRK KOKMEYER (PT, SCS, COMT) on a map?
Expect Brunswick, Maine as a primary anchor for DIRK KOKMEYER (PT, SCS, COMT) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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