MRS. KRISTEN LANE VANDERWIJST (DPT) – Physical Therapist, NPI 1144727934

MRS. KRISTEN LANE VANDERWIJST (DPT) is a healthcare provider. based in Fredericksburg, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305207113 (VA). The NPI Number for MRS. KRISTEN LANE VANDERWIJST (DPT) is 1144727934

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTEN LANE VANDERWIJST (DPT)
NPI
1144727934
Phone
(757) 374-9839
Address
11717 HARRIS MILL CT
Enumeration Date
9 April 2018
Last Update Date
9 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407100100
Graduation Year
2011 (15 years ago)
PAC ID
9537424288
Group Practice PAC ID
5092093575
Professional Enrollment ID
I20180529003070
Address ID
VA224079435FR4701XPKWY303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

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Provider Addresses for MRS. KRISTEN LANE VANDERWIJST (DPT)

  • 11717, Harris Mill Court, Fredericksburg, Spotsylvania County, Virginia, 22408, United States

    FREDERICKSBURG, VA 224081890

    Phone: (757) 374-9839

    Type: Mailing

  • 106, Gerber Drive, Greenfield, Fredericksburg, Spotsylvania County, Virginia, 22408, United States

    FREDERICKSBURG, VA 224079435

    Phone: (540) 710-0100

    Fax: (540) 710-5333

    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: 2018-05-29

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
I20180529003070IPhysical Therapist In Private PracticeVATBD

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 minutes1,17596$0
97140Therapy procedure using manual technique, each 15 minutes66872$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39667$0
97530Therapy procedure using functional activities34256$0
97535Training for self-care or home management, each 15 minutes24870$0
View full utilization report →

Insurance plans in this area (ZIP 22408)

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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: 5092093575View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

Does MRS. KRISTEN LANE VANDERWIJST (DPT) have a public NPI I can cite?
Public records show MRS. KRISTEN LANE VANDERWIJST (DPT) under NPI 1144727934.
Is MRS. KRISTEN LANE VANDERWIJST (DPT)'s NPI status active today?
Active status means MRS. KRISTEN LANE VANDERWIJST (DPT)'s NPI record is not deactivated in the public file.
What services align with MRS. KRISTEN LANE VANDERWIJST (DPT)'s listing?
MRS. KRISTEN LANE VANDERWIJST (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KRISTEN LANE VANDERWIJST (DPT)?
The directory associates MRS. KRISTEN LANE VANDERWIJST (DPT) with Fredericksburg, Virginia. Check all listed addresses for suites or satellite offices.
Can I export MRS. KRISTEN LANE VANDERWIJST (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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