KELSEY L DEERTZ (DPT) – Physical Therapist, NPI 1609355999

KELSEY L DEERTZ (DPT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 093245 (IA). The NPI Number for KELSEY L DEERTZ (DPT) is 1609355999

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY L DEERTZ (DPT)
NPI
1609355999
Phone
(402) 319-9031
Address
15426 BEMIS CIR
Enumeration Date
8 August 2018
Last Update Date
24 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023341919
Graduation Year
2018 (8 years ago)
PAC ID
3476802638
Group Practice PAC ID
8224378617
Professional Enrollment ID
I20180821002411
Address ID
NE681442981OM11623STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for KELSEY L DEERTZ (DPT)

  • 15426 BEMIS CIR

    OMAHA, NE 681543747

    Phone: (402) 319-9031

    Type: Mailing

  • 301 W Broadway Ste 100

    Council Bluffs, IA 515039071

    Phone: (712) 322-9688

    Fax: (712) 322-1299

    Type: Location

  • 600, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States

    WESTMONT, IL 605595548

    Phone: (630) 575-1980

    Type: Mailing

  • 9449, J Street, Millard, Omaha, Douglas County, Nebraska, 68127, United States

    OMAHA, NE 68127

    Phone: (402) 593-7345

    Fax: (402) 593-0882

    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: 2018-08-21

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
I20180821002411IPhysical Therapist In Private PracticeNETBD

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 68154)

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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: 8224378617View full group profile
NameSpecialtyState
Qualified Speech Language PathologistIA
Physical Therapist In Private PracticeIA
Qualified Speech Language PathologistNE
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Occupational Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How do I look up KELSEY L DEERTZ (DPT) by NPI?
Use NPI 1609355999 when you need to reference KELSEY L DEERTZ (DPT) in forms, claims, or directories.
Is KELSEY L DEERTZ (DPT) currently active in the NPI registry?
CMS-published data lists KELSEY L DEERTZ (DPT) as an active registrant.
What kind of provider is KELSEY L DEERTZ (DPT)?
The page reflects Physical Therapist for KELSEY L DEERTZ (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for KELSEY L DEERTZ (DPT)?
The page summarizes Omaha, Nebraska for KELSEY L DEERTZ (DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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