KENJI C CARP (PT) – Physical Therapist, NPI 1053353375

KENJI C CARP (PT) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT4030 (OR). The NPI Number for KENJI C CARP (PT) is 1053353375

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KENJI C CARP (PT)
NPI
1053353375
Phone
(541) 653-9696
Address
90 E 27TH AVE
Enumeration Date
12 June 2006
Last Update Date
24 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416539696
Graduation Year
1999 (27 years ago)
PAC ID
1355386814
Group Practice PAC ID
6406048222
Professional Enrollment ID
I20050624000328
Address ID
OR974053785EU90XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for KENJI C CARP (PT)

  • 90, East 27th Avenue, Woodfield Microhood, College Hill, Eugene, Lane County, Oregon, 97405, United States

    EUGENE, OR 974053785

    Phone: (541) 653-9696

    Fax: (541) 653-9669

    Mailing address matches the actual address.

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: 2005-06-24

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
I20050624000328IPhysical Therapist In Private PracticeORTBD

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 activities1,37773$0
97140Therapy procedure using manual technique, each 15 minutes34248$0
97164Re-evaluation for physical therapy, typically 20 minutes9542$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6019$0
92541Test for abnormal eye movement with recording2011$0
View full utilization report →

Insurance plans in this area (ZIP 97405)

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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: 6406048222View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
-OH
-OR
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR

Reviews

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Frequently asked questions

What identifier follows KENJI C CARP (PT) across health systems?
The NPI 1053353375 uniquely identifies KENJI C CARP (PT) in U.S. healthcare data.
Is KENJI C CARP (PT)'s NPI status active today?
Active status means KENJI C CARP (PT)'s NPI record is not deactivated in the public file.
What services align with KENJI C CARP (PT)'s listing?
KENJI C CARP (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KENJI C CARP (PT)?
The directory associates KENJI C CARP (PT) with Eugene, Oregon. Check all listed addresses for suites or satellite offices.
Who maintains KENJI C CARP (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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