STEPHANIE KOLLISTER – Physical Therapist, NPI 1396112454

STEPHANIE KOLLISTER is a healthcare provider. based in Kingwood, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1263872 (TX). The NPI Number for STEPHANIE KOLLISTER is 1396112454

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE KOLLISTER
NPI
1396112454
Phone
(281) 358-1838
Address
23780 HIGHWAY 59 N
Enumeration Date
25 August 2015
Last Update Date
25 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813792102
Graduation Year
2015 (11 years ago)
PAC ID
6406157494
Group Practice PAC ID
1759488125
Professional Enrollment ID
I20151216001854
Address ID
TX773792614SP21301RDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for STEPHANIE KOLLISTER

  • 23780 HIGHWAY 59 N

    KINGWOOD, TX 773391529

    Phone: (281) 358-1838

    Fax: (281) 358-1812

    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: 2015-12-16

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
I20151216001854IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes70054$0
97140Therapy procedure using manual technique, each 15 minutes33743$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22141$0
97150Therapy procedure in a group setting12735$0
97530Therapy procedure using functional activities6415$0
View full utilization report →

Insurance plans in this area (ZIP 77339)

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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: 1759488125View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
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 PracticeUT
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is STEPHANIE KOLLISTER listed with a National Provider Identifier?
Yes — STEPHANIE KOLLISTER has NPI 1396112454 on file in the registry.
Active or inactive — what applies to STEPHANIE KOLLISTER?
You should see STEPHANIE KOLLISTER as active in CMS-hosted NPPES data.
What clinical focus is listed for STEPHANIE KOLLISTER?
At a glance, STEPHANIE KOLLISTER is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is STEPHANIE KOLLISTER located near Kingwood?
STEPHANIE KOLLISTER currently maps to Kingwood, Texas in this extract.
Does STEPHANIE KOLLISTER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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