KELSEY BAGWELL (PT, DPT) – Physical Therapist, NPI 1255987483

KELSEY BAGWELL (PT, DPT) is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1322741 (TX). The NPI Number for KELSEY BAGWELL (PT, DPT) is 1255987483

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY BAGWELL (PT, DPT)
NPI
1255987483
Phone
Not provided
Address
4120 HERITAGE TRACE PKWY STE 220
Enumeration Date
13 August 2019
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172591255
Graduation Year
2019 (7 years ago)
PAC ID
5496085425
Group Practice PAC ID
8921355280
Professional Enrollment ID
I20190918000846
Address ID
TX761323281FO5500XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for KELSEY BAGWELL (PT, DPT)

  • Heritage Trace Parkway, Fort Worth, Tarrant County, Texas, 76244, United States

    FORT WORTH, TX 762445309

    Phone:

    Type: Mailing

  • 5500 OVERTON RIDGE BLVD STE 228

    FORT WORTH, TX 761323281

    Phone: (817) 259-1255

    Fax: (817) 764-9008

    Type: Mailing

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: 2019-09-18

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
I20190918000846IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42155$0
97530Therapy procedure using functional activities34444$0
97140Therapy procedure using manual technique, each 15 minutes20940$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20450$0
97535Training for self-care or home management, each 15 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 76244)

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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: 8921355280View full group profile
NameSpecialtyState
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
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

Does KELSEY BAGWELL (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELSEY BAGWELL (PT, DPT) uses 1255987483.
Is KELSEY BAGWELL (PT, DPT) still practicing?
KELSEY BAGWELL (PT, DPT) is currently listed as active in the public NPI registry.
What taxonomy line describes KELSEY BAGWELL (PT, DPT)?
For research purposes, treat KELSEY BAGWELL (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does KELSEY BAGWELL (PT, DPT) list a practice location?
Patients near Fort Worth, Texas may find KELSEY BAGWELL (PT, DPT) in results; validate coverage separately.
Is the information about KELSEY BAGWELL (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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