MS. KISTEN DEDE (P.T.) – Physical Therapist, NPI 1174808158

MS. KISTEN DEDE (P.T.) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 2047 (OR). The NPI Number for MS. KISTEN DEDE (P.T.) is 1174808158

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
MS. KISTEN DEDE (P.T.)
NPI
1174808158
Phone
Not provided
Address
55 COBURG RD
Enumeration Date
20 October 2011
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414858111
Graduation Year
1988 (38 years ago)
PAC ID
8921274960
Group Practice PAC ID
0547164758
Professional Enrollment ID
I20111222000182
Address ID
OR974012433EU55XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for MS. KISTEN DEDE (P.T.)

  • 55 COBURG RD

    EUGENE, OR 974012433

    Phone:

    Type: Mailing

  • 999 Willamette St

    Eugene, OR 974013112

    Phone: (541) 687-9314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2011-12-22

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
I20111222000182IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes95392$0
97530Therapy procedure using functional activities17450$0
97140Therapy procedure using manual technique, each 15 minutes7230$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4521$0
97161Evaluation for physical therapy, typically 20 minutes3836$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

Loading plans...

Provider's Procedures

MS. KISTEN DEDE (P.T.) 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 THERAPYOR97001Physical therapy evaluation1111

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: 0547164758View full group profile
NameSpecialtyState
Orthopedic SurgeryOR
Physical Therapist In Private PracticeOR
Orthopedic SurgeryIN
Orthopedic SurgeryOR
Orthopedic Surgery, Hand SurgeryOR
Orthopedic SurgeryOR
Physician AssistantIA
Physical Therapist In Private PracticeOR
Physician AssistantOR
Orthopedic SurgeryCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up MS. KISTEN DEDE (P.T.) by NPI?
Use NPI 1174808158 when you need to reference MS. KISTEN DEDE (P.T.) in forms, claims, or directories.
Is MS. KISTEN DEDE (P.T.)'s NPI currently valid?
The extract we use shows MS. KISTEN DEDE (P.T.) as active.
Does MS. KISTEN DEDE (P.T.) list a primary specialty?
If you are matching referrals, note Physical Therapist for MS. KISTEN DEDE (P.T.). Clinical services aligned with this taxonomy classification.
Where is MS. KISTEN DEDE (P.T.)'s primary listing?
We display Eugene, Oregon because that is what the record indicates for MS. KISTEN DEDE (P.T.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

1435, G Street, Springfield, Lane County, Oregon, 97477, United States
NPI: 1699766170
1166, West 7th Avenue, Eugene, Lane County, Oregon, 97402, United States
NPI: 1649261009
Oakway Center, Oakmont Way, Eugene, Lane County, Oregon, 97401, United States
NPI: 1992796452

JEFF A GIULIETTI (MPT, ATC)

Physical Therapist
Oakway Center, Oakmont Way, Eugene, Lane County, Oregon, 97401, United States
NPI: 1003807561
16083, Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97224, United States
NPI: 1770565624

WELLA AUGUSTINE (PT)

Physical Therapist
Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States
NPI: 1265415624
16083, Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97224, United States
NPI: 1073597571

VIRGINIA MULVEY (PT)

Physical Therapist
1310, Coburg Road, Eugene, Lane County, Oregon, 97401, United States
NPI: 1346224748
4730, Village Plaza Loop, Eugene, Lane County, Oregon, 97401, United States
NPI: 1235113630