KRISTIN EDEN (DPT) – Physical Therapist, NPI 1710363254

KRISTIN EDEN (DPT) is a healthcare provider. based in Ishpeming, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501016324 (MI). The NPI Number for KRISTIN EDEN (DPT) is 1710363254

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN EDEN (DPT)
NPI
1710363254
Phone
(906) 204-7400
Address
820 CARP RIVER LN
Enumeration Date
6 August 2015
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062047400
Graduation Year
2013 (13 years ago)
PAC ID
6507175510
Group Practice PAC ID
5890920045
Professional Enrollment ID
I20151014000605
Address ID
MI498493187IS820XXLNXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,481 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KRISTIN EDEN (DPT)

  • 820 CARP RIVER LN

    STE 2

    ISHPEMING, MI 498493187

    Phone: (906) 204-7400

    Fax: (906) 204-7402

    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: 2015-10-14

PECOS data refreshed: 2026-06-15

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
I20151014000605IPhysical 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.

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 minutes44239$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26933$0
97530Therapy procedure using functional activities22529$0
97161Evaluation for physical therapy, typically 20 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 49849)

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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: 5890920045View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify KRISTIN EDEN (DPT) with an NPI only?
You can start verification with NPI 1710363254 for KRISTIN EDEN (DPT), then check state licensing separately.
Can I rely on KRISTIN EDEN (DPT) being an active provider?
As of the registry snapshot, KRISTIN EDEN (DPT) is marked active.
What taxonomy line describes KRISTIN EDEN (DPT)?
For research purposes, treat KRISTIN EDEN (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does KRISTIN EDEN (DPT) serve?
KRISTIN EDEN (DPT)'s listing highlights Ishpeming, Michigan; more addresses can appear in NPPES.
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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