KORY SHAWN LANCASTER (PT) – Physical Therapist, NPI 1114406147

KORY SHAWN LANCASTER (PT) is a healthcare provider. based in Arlington, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1308098 (TX). The NPI Number for KORY SHAWN LANCASTER (PT) is 1114406147

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KORY SHAWN LANCASTER (PT)
NPI
1114406147
Phone
(817) 483-1746
Address
6033 W INTERSTATE 20
Enumeration Date
10 August 2018
Last Update Date
8 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177040477
Graduation Year
2018 (8 years ago)
PAC ID
6406109362
Group Practice PAC ID
1355453226
Professional Enrollment ID
I20181024000177
Address ID
TX750525284GR355XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for KORY SHAWN LANCASTER (PT)

  • 6033, West Interstate 20, Arlington, Tarrant County, Texas, 76017, United States

    ARLINGTON, TX 760171042

    Phone: (817) 483-1746

    Fax: (817) 483-5874

    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: 2018-10-24

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
I20181024000177IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes14530$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13131$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8527$0
97150Therapy procedure in a group setting8130$0
View full utilization report →

Insurance plans in this area (ZIP 76017)

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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: 1355453226View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

How do I look up KORY SHAWN LANCASTER (PT) by NPI?
Use NPI 1114406147 when you need to reference KORY SHAWN LANCASTER (PT) in forms, claims, or directories.
Does this profile mean KORY SHAWN LANCASTER (PT) is currently active?
Yes — KORY SHAWN LANCASTER (PT) appears active in the national provider directory.
What kind of provider is KORY SHAWN LANCASTER (PT)?
The page reflects Physical Therapist for KORY SHAWN LANCASTER (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for KORY SHAWN LANCASTER (PT)?
The page summarizes Arlington, Texas for KORY SHAWN LANCASTER (PT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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