MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) – Physical Therapist, NPI 1902847049

MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) is a healthcare provider. based in Montclair, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT, CSCS, CERT MDT. They hold a License No. QA05548 (NJ). The NPI Number for MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) is 1902847049

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT)
NPI
1902847049
Phone
(973) 746-2424
Address
1 Greenwood Ave
Enumeration Date
9 June 2006
Last Update Date
2 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2016398870
Graduation Year
1992 (34 years ago)
PAC ID
1951299338
Group Practice PAC ID
3476539776
Professional Enrollment ID
I20040308000747
Address ID
NJ074321970MI85XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT)

  • 1 Greenwood Ave

    suite 100

    Montclair, NJ 070423617

    Phone: (973) 746-2424

    Fax: (973) 746-5030

    Type: Location

  • 2122 YORK RD STE 300

    OAK BROOK, IL 605231925

    Phone: (630) 575-1980

    Type: Mailing

  • 1, Greenwood Avenue, Montclair, Essex County, New Jersey, 07042, United States

    SUITE 100

    MONTCLAIR, NJ 070423617

    Phone: (973) 746-2424

    Fax: (973) 746-5030

    Type: Mailing

  • 321 DORCHESTER AVE STE B

    CAMBRIDGE, MD 216132425

    Phone: (410) 228-5100

    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: 2024-08-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040308000747IPhysical Therapist In Private PracticeNJTBD
I20240816002766IPhysical Therapist In Private PracticeDCTBD
I20240829000276IPhysical Therapist In Private PracticeMDTBD

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
97530Therapy procedure using functional activities64876$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes62084$0
97140Therapy procedure using manual technique, each 15 minutes60785$0
97150Therapy procedure in a group setting30567$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9032$0
View full utilization report →

Insurance plans in this area (ZIP 07042)

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Provider's Procedures

MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) 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 THERAPYNJ97001Physical therapy evaluation7466

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: 3476539776View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NY
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NY

Reviews

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Frequently asked questions

What is the registry number for MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT)?
The registry entry for MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) shows NPI 1902847049.
Does the public listing show MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) as active?
MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT)'s NPI record reflects an active status in NPPES.
What type of care does MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) provide?
MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT)?
MR. KEVIN DUFFUS (MSPT, CSCS, CERT MDT) is associated with Montclair, New Jersey in the same public data insurers reference.
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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