CEZENA CLITUS (PT) – Physical Therapist, NPI 1689245920

CEZENA CLITUS (PT) is a healthcare provider. based in Temple, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for CEZENA CLITUS (PT) is 1689245920

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CEZENA CLITUS (PT)
NPI
1689245920
Phone
(407) 780-5635
Address
2012 S 31ST ST APT 4204
Enumeration Date
7 July 2021
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3524046908
Graduation Year
2020 (6 years ago)
PAC ID
4981195179
Group Practice PAC ID
7517035124
Professional Enrollment ID
I20251117000017
Address ID
FL347157433MI236XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for CEZENA CLITUS (PT)

  • 2012 S 31ST ST APT 4204

    TEMPLE, TX 765047150

    Phone: (407) 780-5635

    Type: Mailing

  • 2011 BROADWAY ST STE 130

    PEARLAND, TX 775815945

    Phone: (512) 431-4721

    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: 2025-11-17

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
I20251117000017IPhysical Therapist In Private PracticeFLTBD

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 76504)

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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: 7517035124View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up CEZENA CLITUS (PT) by NPI?
Use NPI 1689245920 when you need to reference CEZENA CLITUS (PT) in forms, claims, or directories.
Is CEZENA CLITUS (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CEZENA CLITUS (PT)?
The page reflects Physical Therapist for CEZENA CLITUS (PT). Clinical services aligned with this taxonomy classification.
Where does public data place CEZENA CLITUS (PT)?
The snapshot lists Temple, Texas for CEZENA CLITUS (PT); download NPPES for the complete set.
What if Temple, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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