KACY LEE TIBBETTS (DPT) – Physical Therapist, NPI 1386980241

KACY LEE TIBBETTS (DPT) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 4596 (OK). The NPI Number for KACY LEE TIBBETTS (DPT) is 1386980241

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
KACY LEE TIBBETTS (DPT)
NPI
1386980241
Phone
(405) 609-3675
Address
700 NW 7TH ST
Enumeration Date
21 December 2012
Last Update Date
8 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803556785
Graduation Year
2012 (14 years ago)
PAC ID
0345470100
Group Practice PAC ID
3072562412
Professional Enrollment ID
I20140224001501
Address ID
OK735055998LA5117XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for KACY LEE TIBBETTS (DPT)

  • 700 NW 7TH ST

    SUITE 302

    OKLAHOMA CITY, OK 731021212

    Phone: (405) 609-3675

    Fax: (800) 506-3795

    Type: Mailing

  • 1507 BROOKWOOD AVE

    DUNCAN, OK 735331356

    Phone: (580) 252-9159

    Fax: (580) 255-2158

    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: 2014-02-24

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
I20140224001501IPhysical Therapist In Private PracticeOKTBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,092209$0
97530Therapy procedure using functional activities1,648182$0
97150Therapy procedure in a group setting1,183194$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes806187$0
97140Therapy procedure using manual technique, each 15 minutes28662$0
View full utilization report →

Insurance plans in this area (ZIP 73102)

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Provider's Procedures

KACY LEE TIBBETTS (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 THERAPYOK97001Physical therapy evaluation8885

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: 3072562412View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-TX
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

How do I look up KACY LEE TIBBETTS (DPT) by NPI?
Use NPI 1386980241 when you need to reference KACY LEE TIBBETTS (DPT) in forms, claims, or directories.
Is KACY LEE TIBBETTS (DPT)'s NPI currently valid?
The extract we use shows KACY LEE TIBBETTS (DPT) as active.
Does KACY LEE TIBBETTS (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for KACY LEE TIBBETTS (DPT). Clinical services aligned with this taxonomy classification.
Where is KACY LEE TIBBETTS (DPT)'s primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for KACY LEE TIBBETTS (DPT).
What if Oklahoma City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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