KIMBERLY COLCLASURE (DPT) – Physical Therapist, NPI 1457621534

KIMBERLY COLCLASURE (DPT) is a healthcare provider. based in West chester, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 07556 (OH). The NPI Number for KIMBERLY COLCLASURE (DPT) is 1457621534

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY COLCLASURE (DPT)
NPI
1457621534
Phone
(513) 755-6600
Address
9902 WINDISCH RD
Enumeration Date
6 January 2012
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374286273
Graduation Year
1996 (30 years ago)
PAC ID
9931332129
Group Practice PAC ID
6709016777
Professional Enrollment ID
I20140423001530
Address ID
OH454592541CE1700XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,263 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for KIMBERLY COLCLASURE (DPT)

  • 9902 WINDISCH RD

    WEST CHESTER, OH 450693804

    Phone: (513) 755-6600

    Fax: (513) 755-3762

    Type: Location

  • 1700 THOMAS PAINE PKWY

    CENTERVILLE, OH 454592541

    Phone: (937) 428-6273

    Fax: (513) 755-3762

    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: 2014-04-23

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
I20140423001530IPhysical Therapist In Private PracticeOHTBD

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 45069)

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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: 6709016777View full group profile
NameSpecialtyState
-OH
-OH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeIL
-OH

Reviews

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Frequently asked questions

How do payers reference KIMBERLY COLCLASURE (DPT)?
For KIMBERLY COLCLASURE (DPT), use NPI 1457621534 as the unique 10-digit identifier.
Is KIMBERLY COLCLASURE (DPT) still an active registrant?
KIMBERLY COLCLASURE (DPT) carries an active NPI according to the public dataset.
What clinical focus is listed for KIMBERLY COLCLASURE (DPT)?
At a glance, KIMBERLY COLCLASURE (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is KIMBERLY COLCLASURE (DPT) located near West Chester?
KIMBERLY COLCLASURE (DPT) currently maps to West Chester, Ohio in this extract.
When was this NPI issued?
Enumeration for KIMBERLY COLCLASURE (DPT) is noted as January 6, 2012 where the registry provides it.

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