KEVIN R MUNCEY (PT, DPT, ATC, SCS) – Physical Therapist, NPI 1518480870
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR
Provider Addresses for KEVIN R MUNCEY (PT, DPT, ATC, SCS)
845 SW 30th St
Corvallis, OR 973318629
Phone: (541) 768-7700
Type: Location
1157 N 300 W Ste 211
Provo, UT 846046124
Phone: (801) 357-1250
Type: Location
Southwest 30th Street, Corvallis, Benton County, Oregon, 97331, United States
CORVALLIS, OR 973318629
Phone: (541) 768-7700
Type: Mailing
443 E 340 N
VINEYARD, UT 840597504
Phone: (208) 691-7738
Type: Mailing
564 W 700 S STE 203
PLEASANT GROVE, UT 840623785
Phone: (208) 691-7738
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: 2020-11-19
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 |
|---|---|---|---|---|
| I20201119001660 | I | Physical Therapist In Private Practice | UT | 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 97331)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | UT | |
| Occupational Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | AR | |
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | UT | |
| - | UT | |
| Qualified Speech Language Pathologist | UT |
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