KERI LYN GUSTAVSEN (P.T.) – Physical Therapist, NPI 1063444743

KERI LYN GUSTAVSEN (P.T.) is a healthcare provider. based in Argyle, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 1161526 (TX). The NPI Number for KERI LYN GUSTAVSEN (P.T.) is 1063444743

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KERI LYN GUSTAVSEN (P.T.)
NPI
1063444743
Phone
(940) 464-0055
Address
PO BOX 372
Enumeration Date
6 July 2006
Last Update Date
4 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038068461
Graduation Year
2005 (21 years ago)
PAC ID
5799798179
Group Practice PAC ID
1153739776
Professional Enrollment ID
I20060802000107
Address ID
TX756051073LO5848XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for KERI LYN GUSTAVSEN (P.T.)

  • PO BOX 372

    ARGYLE, TX 762260372

    Phone: (940) 464-0055

    Fax: (940) 464-7755

    Type: Mailing

  • Country Club Road, Argyle, Denton County, Texas, 76226, United States

    ARGYLE, TX 762262358

    Phone: (940) 464-0055

    Fax: (940) 464-7755

    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: 2006-08-02

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
I20060802000107IPhysical 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 76226)

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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: 1153739776View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to KERI LYN GUSTAVSEN (P.T.)?
The federal identifier for KERI LYN GUSTAVSEN (P.T.) is NPI 1063444743.
Is KERI LYN GUSTAVSEN (P.T.) active in the national directory?
KERI LYN GUSTAVSEN (P.T.)'s public NPI profile is in an active state.
What kind of provider is KERI LYN GUSTAVSEN (P.T.)?
The page reflects Physical Therapist for KERI LYN GUSTAVSEN (P.T.). Clinical services aligned with this taxonomy classification.
Where does public data place KERI LYN GUSTAVSEN (P.T.)?
The snapshot lists Argyle, Texas for KERI LYN GUSTAVSEN (P.T.); download NPPES for the complete set.
How can I contact KERI LYN GUSTAVSEN (P.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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