KEITH WADE PESNELL (P.T.) – Physical Therapist, NPI 1194760371

KEITH WADE PESNELL (P.T.) is a healthcare provider. based in Angleton, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 1090983 (TX). The NPI Number for KEITH WADE PESNELL (P.T.) is 1194760371

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
KEITH WADE PESNELL (P.T.)
NPI
1194760371
Phone
(979) 848-1886
Address
421 S VELASCO ST
Enumeration Date
19 June 2006
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9798481886
Graduation Year
1993 (33 years ago)
PAC ID
7416912118
Group Practice PAC ID
3173588878
Professional Enrollment ID
I20060505000773
Address ID
TX775156015AN421XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for KEITH WADE PESNELL (P.T.)

  • 421, South Velasco Street, Angleton, Brazoria County, Texas, 77515, United States

    ANGLETON, TX 775156015

    Phone: (979) 848-1886

    Fax: (979) 848-1376

    Type: Mailing

  • North State Highway 288, Angleton, Brazoria County, Texas, 77515, United States

    ANGLETON, TX 775157455

    Phone: (979) 848-1886

    Fax: (979) 848-1376

    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: 2006-05-05

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
I20060505000773IPhysical 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
97530Therapy procedure using functional activities11,710119$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,643119$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care1,42976$0
97162Evaluation for physical therapy, typically 30 minutes9890$0
View full utilization report →

Insurance plans in this area (ZIP 77515)

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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: 3173588878View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Where can patients find KEITH WADE PESNELL (P.T.)'s NPI?
You can confirm KEITH WADE PESNELL (P.T.) with NPI 1194760371; it appears in the national provider directory.
Is KEITH WADE PESNELL (P.T.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KEITH WADE PESNELL (P.T.) list a primary specialty?
If you are matching referrals, note Physical Therapist for KEITH WADE PESNELL (P.T.). Clinical services aligned with this taxonomy classification.
Where does public data place KEITH WADE PESNELL (P.T.)?
The snapshot lists Angleton, Texas for KEITH WADE PESNELL (P.T.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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