ADAM B. KERSHAW (MPT, OCS) – Physical Therapist, NPI 1205848223

ADAM B. KERSHAW (MPT, OCS) is a healthcare provider. based in Bremerton, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT, OCS. They hold a License No. PT00010619 (WA). The NPI Number for ADAM B. KERSHAW (MPT, OCS) is 1205848223

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ADAM B. KERSHAW (MPT, OCS)
NPI
1205848223
Phone
(360) 479-8477
Address
6108 NW SPECTRUM CT
Enumeration Date
12 August 2006
Last Update Date
29 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012958999
Graduation Year
2001 (25 years ago)
PAC ID
8820047673
Group Practice PAC ID
2668462045
Professional Enrollment ID
I20050119000243
Address ID
UT840107677BO1551XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for ADAM B. KERSHAW (MPT, OCS)

  • 6108 NW SPECTRUM CT

    BREMERTON, WA 983126126

    Phone: (360) 479-8477

    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: 2005-01-19

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
I20050119000243IPhysical 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 98312)

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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: 2668462045View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT

Reviews

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Frequently asked questions

What federal number belongs to ADAM B. KERSHAW (MPT, OCS)?
The federal identifier for ADAM B. KERSHAW (MPT, OCS) is NPI 1205848223.
Is ADAM B. KERSHAW (MPT, OCS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ADAM B. KERSHAW (MPT, OCS) treat or focus on?
Patients typically see ADAM B. KERSHAW (MPT, OCS) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place ADAM B. KERSHAW (MPT, OCS)?
The snapshot lists Bremerton, Washington for ADAM B. KERSHAW (MPT, OCS); download NPPES for the complete set.
Is ADAM B. KERSHAW (MPT, OCS) a real provider?
This page reflects official NPPES data for NPI 1205848223. Always confirm identity and privileges with the practice and licensing boards.

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