DUANE T JR. KIYOTA (DPT) – Physical Therapist, NPI 1922474634
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME
Provider Addresses for DUANE T JR. KIYOTA (DPT)
94 MAIN ST
GORHAM, ME 040381340
Phone: (207) 839-5860
Fax: (207) 839-2499
Type: Mailing
185 OCEAN ST
SOUTH PORTLAND, ME 041063600
Phone: (207) 799-8226
Fax: (207) 799-9340
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: 2018-04-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180413000164 | I | Physical Therapist In Private Practice | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04038)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | ME | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 655 | 64 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA |
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