NATHAN KENISTON (DPT) – Physical Therapist, NPI 1013385806

NATHAN KENISTON (DPT) is a healthcare provider. based in Medford, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 63210 (OR). The NPI Number for NATHAN KENISTON (DPT) is 1013385806

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN KENISTON (DPT)
NPI
1013385806
Phone
(541) 779-6250
Address
2780 E Barnett Rd Ste 200
Enumeration Date
10 September 2015
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697883040
Graduation Year
2015 (11 years ago)
PAC ID
7618262346
Group Practice PAC ID
8921065707
Professional Enrollment ID
I20200707003150
Address ID
MI490173258BA710XXAVEX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for NATHAN KENISTON (DPT)

  • 2780 E Barnett Rd Ste 200

    Medford, OR 97504

    Phone: (541) 779-6250

    Fax: (541) 772-2531

    Type: Location

  • 607 DEWEY AVE NW

    STE 300

    GRAND RAPIDS, MI 495045283

    Phone: (541) 779-6250

    Fax: (541) 772-2531

    Type: Mailing

  • 2780 E BARNETT RD STE 200

    MEDFORD, OR 97504

    Phone: (541) 779-6250

    Fax: (541) 772-2531

    Type: Location

  • 6809 AMBERLY ST

    PORTAGE, MI 490243108

    Phone: (541) 821-1763

    Type: Mailing

  • 5886 VENTURE PARK DR

    KALAMAZOO, MI 490091848

    Phone: (269) 375-4737

    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: 2020-07-07

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
I20200707003150IPhysical Therapist In Private PracticeMITBD

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
97140Therapy procedure using manual technique, each 15 minutes33727$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22727$0
97530Therapy procedure using functional activities20827$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11521$0
97162Evaluation for physical therapy, typically 30 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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Provider's Procedures

NATHAN KENISTON (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 THERAPYMI97001Physical therapy evaluation2221

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: 8921065707View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do I look up NATHAN KENISTON (DPT) by NPI?
Use NPI 1013385806 when you need to reference NATHAN KENISTON (DPT) in forms, claims, or directories.
Is NATHAN KENISTON (DPT) currently active in the NPI registry?
CMS-published data lists NATHAN KENISTON (DPT) as an active registrant.
What does NATHAN KENISTON (DPT) treat or focus on?
Patients typically see NATHAN KENISTON (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is NATHAN KENISTON (DPT)'s primary listing?
We display Medford, Oregon because that is what the record indicates for NATHAN KENISTON (DPT).
Is NATHAN KENISTON (DPT) a real provider?
This page reflects official NPPES data for NPI 1013385806. Always confirm identity and privileges with the practice and licensing boards.