KASSIDY DREW DAVIS (PT, DPT) – Physical Therapist, NPI 1235917634

KASSIDY DREW DAVIS (PT, DPT) is a healthcare provider. based in Midland, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501302634 (MI). The NPI Number for KASSIDY DREW DAVIS (PT, DPT) is 1235917634

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KASSIDY DREW DAVIS (PT, DPT)
NPI
1235917634
Phone
Not provided
Address
4710 EASTMAN AVE
Enumeration Date
18 September 2023
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893411070
Graduation Year
2023 (3 years ago)
PAC ID
4486001609
Group Practice PAC ID
9638392020
Professional Enrollment ID
I20231109002453
Address ID
MI486402606MI4710XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KASSIDY DREW DAVIS (PT, DPT)

  • 4710 EASTMAN AVE

    MIDLAND, MI 486402606

    Phone:

    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: 2023-11-09

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
I20231109002453IPhysical Therapist In Private PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48640)

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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: 9638392020View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
C H I R O P R A C T I CMI
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeWA
C H I R O P R A C T I CMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify KASSIDY DREW DAVIS (PT, DPT) with an NPI only?
You can start verification with NPI 1235917634 for KASSIDY DREW DAVIS (PT, DPT), then check state licensing separately.
Does the file indicate KASSIDY DREW DAVIS (PT, DPT) is practicing under active NPI?
Directory data currently reports KASSIDY DREW DAVIS (PT, DPT) as active.
What taxonomy line describes KASSIDY DREW DAVIS (PT, DPT)?
For research purposes, treat KASSIDY DREW DAVIS (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is KASSIDY DREW DAVIS (PT, DPT) based?
KASSIDY DREW DAVIS (PT, DPT) is tied to Midland, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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