MRS. KELIE JEAN DAVIS (DPT) – Physical Therapist, NPI 1174620611

MRS. KELIE JEAN DAVIS (DPT) is a healthcare provider. based in Hopkins, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 7809 (MN). The NPI Number for MRS. KELIE JEAN DAVIS (DPT) is 1174620611

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELIE JEAN DAVIS (DPT)
NPI
1174620611
Phone
(952) 933-5085
Address
15 8TH AVE N
Enumeration Date
19 September 2006
Last Update Date
4 September 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529335085
Graduation Year
2006 (20 years ago)
PAC ID
7416953690
Group Practice PAC ID
5496703829
Professional Enrollment ID
I20061011000329
Address ID
MN553437611HO15XXXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for MRS. KELIE JEAN DAVIS (DPT)

  • 15, 8th Avenue North, Hopkins, Hennepin County, Minnesota, 55343, United States

    HOPKINS, MN 553437611

    Phone: (952) 933-5085

    Fax: (952) 931-2159

    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: 2006-10-11

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
I20061011000329IPhysical Therapist In Private PracticeMNTBD

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 minutes56343$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28943$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care23638$0
97012Application of mechanical traction20927$0
97161Evaluation for physical therapy, typically 20 minutes3631$0
View full utilization report →

Insurance plans in this area (ZIP 55343)

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Provider's Procedures

MRS. KELIE JEAN DAVIS (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97001Physical therapy evaluation2119
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16320

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: 5496703829View full group profile
NameSpecialtyState
-MN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
Physical Therapist In Private PracticeMN
-MN
Nurse PractitionerMN
-MN
-MN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What identifier follows MRS. KELIE JEAN DAVIS (DPT) across health systems?
The NPI 1174620611 uniquely identifies MRS. KELIE JEAN DAVIS (DPT) in U.S. healthcare data.
Quick check: is MRS. KELIE JEAN DAVIS (DPT) active?
Public NPPES data shows MRS. KELIE JEAN DAVIS (DPT) with an active NPI status right now.
Which specialty label fits MRS. KELIE JEAN DAVIS (DPT)?
NPPES ties MRS. KELIE JEAN DAVIS (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. KELIE JEAN DAVIS (DPT)?
MRS. KELIE JEAN DAVIS (DPT) shows a connection to Hopkins, Minnesota in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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