KATHARINE TYSON – Physical Therapist, NPI 1023874716

KATHARINE TYSON is a healthcare provider. based in Bryan, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1389582 (TX). The NPI Number for KATHARINE TYSON is 1023874716

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATHARINE TYSON
NPI
1023874716
Phone
Not provided
Address
4050 EASTCHESTER DR APT 705
Enumeration Date
21 February 2024
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9796902478
Graduation Year
2023 (3 years ago)
PAC ID
8123464898
Group Practice PAC ID
2163647991
Professional Enrollment ID
I20240315003449
Address ID
TX778458794CO1451XWXXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for KATHARINE TYSON

  • 4050 EASTCHESTER DR APT 705

    BRYAN, TX 778024789

    Phone:

    Type: Mailing

  • 1451 GREENS PRAIRIE RD W STE 100

    COLLEGE STATION, TX 778458794

    Phone: (979) 690-2478

    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: 2024-03-15

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
I20240315003449IPhysical Therapist In Private PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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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: 2163647991View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is KATHARINE TYSON listed with a National Provider Identifier?
Yes — KATHARINE TYSON has NPI 1023874716 on file in the registry.
Is KATHARINE TYSON still an active registrant?
KATHARINE TYSON carries an active NPI according to the public dataset.
What kind of doctor is KATHARINE TYSON?
KATHARINE TYSON is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHARINE TYSON?
Travel planning: use Bryan, Texas as the reference point for KATHARINE TYSON, then confirm.
Can I trust this NPI listing for KATHARINE TYSON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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