MATTHEW ROBERT KRESGE (PT, DPT) – Physical Therapist, NPI 1871248153

MATTHEW ROBERT KRESGE (PT, DPT) is a healthcare provider. based in Roosevelt, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 12608953-2401 (UT). The NPI Number for MATTHEW ROBERT KRESGE (PT, DPT) is 1871248153

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW ROBERT KRESGE (PT, DPT)
NPI
1871248153
Phone
(801) 874-5973
Address
250 W 300 N
Enumeration Date
15 February 2022
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357224691
Graduation Year
2021 (5 years ago)
PAC ID
9335534650
Group Practice PAC ID
0244131944
Professional Enrollment ID
I20220322003064
Address ID
UT840662336RO250XX300X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for MATTHEW ROBERT KRESGE (PT, DPT)

  • 250 W 300 N

    ROOSEVELT, UT 840662336

    Phone: (801) 874-5973

    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: 2022-03-22

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
I20220322003064IPhysical Therapist In Private PracticeUTTBD

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 84066)

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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: 0244131944View full group profile
NameSpecialtyState
General SurgeryAK
Pediatric MedicineUT
Physician AssistantUT
Family PracticeUT
Nurse PractitionerUT
P A T H O L O G YIL
Family PracticeUT
Nurse PractitionerUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Physician AssistantUT

Reviews

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Frequently asked questions

How do I look up MATTHEW ROBERT KRESGE (PT, DPT) by NPI?
Use NPI 1871248153 when you need to reference MATTHEW ROBERT KRESGE (PT, DPT) in forms, claims, or directories.
Does this profile mean MATTHEW ROBERT KRESGE (PT, DPT) is currently active?
Yes — MATTHEW ROBERT KRESGE (PT, DPT) appears active in the national provider directory.
What does MATTHEW ROBERT KRESGE (PT, DPT) treat or focus on?
Patients typically see MATTHEW ROBERT KRESGE (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MATTHEW ROBERT KRESGE (PT, DPT)'s primary listing?
We display Roosevelt, Utah because that is what the record indicates for MATTHEW ROBERT KRESGE (PT, DPT).
How can I contact MATTHEW ROBERT KRESGE (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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