KIRSTIN ANNE FOSBERG – Physical Therapist, NPI 1558677302

KIRSTIN ANNE FOSBERG is a healthcare provider. based in Mountlake terrace, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT00005491 (WA). The NPI Number for KIRSTIN ANNE FOSBERG is 1558677302

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
KIRSTIN ANNE FOSBERG
NPI
1558677302
Phone
(425) 775-7274
Address
6601 220TH ST SW
Enumeration Date
30 August 2010
Last Update Date
6 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2066232220
Graduation Year
1991 (35 years ago)
PAC ID
0749477792
Group Practice PAC ID
0840287249
Professional Enrollment ID
I20101203000273
Address ID
WA981333214SH1227XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for KIRSTIN ANNE FOSBERG

  • 6601 220TH ST SW

    STE 1

    MOUNTLAKE TERRACE, WA 980432166

    Phone: (425) 775-7274

    Fax: (425) 775-0963

    Type: Location

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Fax: (630) 759-9510

    Type: Mailing

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: 2010-12-03

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
I20101203000273IPhysical Therapist In Private PracticeWATBD

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
97530Therapy procedure using functional activities71352$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37251$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care31744$0
97161Evaluation for physical therapy, typically 20 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 98043)

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Provider's Procedures

KIRSTIN ANNE FOSBERG performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97001Physical therapy evaluation1818

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: 0840287249View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeTX
-WA
-WA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

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Frequently asked questions

What is the standard ID for KIRSTIN ANNE FOSBERG in the U.S.?
In the U.S., KIRSTIN ANNE FOSBERG is identified by NPI 1558677302.
Is KIRSTIN ANNE FOSBERG currently accepting referrals based on NPI status?
Registry metadata lists KIRSTIN ANNE FOSBERG as active.
What does the directory say KIRSTIN ANNE FOSBERG does?
Insurance directories may phrase it differently, but here KIRSTIN ANNE FOSBERG maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KIRSTIN ANNE FOSBERG?
The directory associates KIRSTIN ANNE FOSBERG with Mountlake Terrace, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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