KENZI BROWN (PT, DPT) – Physical Therapist, NPI 1720611205
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK
Provider Addresses for KENZI BROWN (PT, DPT)
3 STEELE RIDGE RD
BEAVER, OK 739323429
Phone:
Type: Mailing
322 DOUGLAS AVE
BEAVER, OK 739329650
Phone: (580) 527-1289
Fax: (405) 267-4963
Type: Location
324 7TH ST STE 4
ALVA, OK 737171602
Phone:
Type: Mailing
520 FLYNN ST
ALVA, OK 737172240
Phone: (580) 327-3331
Fax: (580) 327-3314
Type: Location
322 S DOUGLAS AVE
BEAVER, OK 73932
Phone: (580) 527-1289
Fax: (405) 267-4963
Type: Location
201-B East Texas Street
Stratford, TX 79084
Phone: (806) 366-7789
Type: Location
2630 OKLAHOMA AVE
WOODWARD, OK 738014010
Phone: (580) 256-2102
Type: Location
PO BOX 96
ALVA, OK 737170096
Phone:
Type: Mailing
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: 2020-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200324003129 | I | Physical Therapist In Private Practice | OK | TBD |
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.
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 73932)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Orthopedic Surgery | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Nurse Practitioner | OK | |
| Diagnostic Radiology | ANDHRA PRADESH | |
| Nurse Practitioner | KS | |
| Diagnostic Radiology | CA |
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