BRIAN JAMES KITZEROW (DPT) – Physical Therapist, NPI 1063743748
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIAN JAMES KITZEROW (DPT)
PO BOX 4825
PORTLAND, OR 972084825
Phone: (360) 882-2778
Type: Mailing
2005 W MAIN ST STE 140
BATTLE GROUND, WA 986044311
Phone: (360) 882-2778
Type: Location
10305 SW Park Way
#300
Portland, OR 972255028
Phone: (503) 595-9001
Type: Location
Park Way Medical Building, 10305, Southwest Park Way, Portland, Metro, Washington County, Oregon, 97225, United States
#300
PORTLAND, OR 972255028
Phone: (503) 595-9001
Type: Location
7027, Southwest 45th Avenue, Maplewood, Portland, Multnomah County, Oregon, 97219, United States
PORTLAND, OR 972191507
Phone: (503) 252-9083
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: 2018-01-29
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 |
|---|---|---|---|---|
| I20180129002675 | I | Physical Therapist In Private Practice | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 333 | 25 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | OR | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 369 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA | |
| - | TX | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | UT | |
| Occupational Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| - | OR |
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