KRISTEN SCULLY (PT) – Physical Therapist, NPI 1083770028

KRISTEN SCULLY (PT) is a healthcare provider. based in Pflugerville, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1174531 (TX). The NPI Number for KRISTEN SCULLY (PT) is 1083770028

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN SCULLY (PT)
NPI
1083770028
Phone
Not provided
Address
200 N HEATHERWILDE BLVD
Enumeration Date
27 December 2006
Last Update Date
11 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2005 (21 years ago)
PAC ID
5799701967
Group Practice PAC ID
0648692723
Professional Enrollment ID
I20170828000740
Address ID
TX760927632SO180XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for KRISTEN SCULLY (PT)

  • 200, North Heatherwilde Boulevard, Swenson Farms, Pflugerville, Travis County, Texas, 78691, United States

    PFLUGERVILLE, TX 786603530

    Phone:

    Mailing address matches the actual address.

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: 2017-08-28

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
I20170828000740IPhysical 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 78660)

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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: 0648692723View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What is the registry number for KRISTEN SCULLY (PT)?
The registry entry for KRISTEN SCULLY (PT) shows NPI 1083770028.
Does the public listing show KRISTEN SCULLY (PT) as active?
KRISTEN SCULLY (PT)'s NPI record reflects an active status in NPPES.
What does the directory say KRISTEN SCULLY (PT) does?
Insurance directories may phrase it differently, but here KRISTEN SCULLY (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KRISTEN SCULLY (PT)?
The directory associates KRISTEN SCULLY (PT) with Pflugerville, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for KRISTEN SCULLY (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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