KRISTINE RENAE KINGSBURY (DPT) – Physical Therapist, NPI 1679435093

KRISTINE RENAE KINGSBURY (DPT) is a healthcare provider. based in Duvall, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT.PT.70049189 (WA). The NPI Number for KRISTINE RENAE KINGSBURY (DPT) is 1679435093

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KRISTINE RENAE KINGSBURY (DPT)
NPI
1679435093
Phone
(425) 788-0505
Address
PO BOX 431
Enumeration Date
25 November 2025
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4254029772
Graduation Year
2025 (1 year ago)
PAC ID
0840779245
Group Practice PAC ID
0941564751
Professional Enrollment ID
I20260205003866
Address ID
WA980726800WO17618NEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for KRISTINE RENAE KINGSBURY (DPT)

  • PO BOX 431

    DUVALL, WA 980190431

    Phone: (425) 788-0505

    Fax: (425) 788-3340

    Type: Mailing

  • 15315 1ST AVE NE STE 5

    DUVALL, WA 980195005

    Phone: (425) 788-0505

    Fax: (425) 788-3340

    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: 2026-02-05

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
I20260205003866IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98019)

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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: 0941564751View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
-CA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Can I cross-check KRISTINE RENAE KINGSBURY (DPT) using NPI 1679435093?
NPI 1679435093 belongs to KRISTINE RENAE KINGSBURY (DPT); compare other details if you need extra assurance.
Active or inactive — what applies to KRISTINE RENAE KINGSBURY (DPT)?
You should see KRISTINE RENAE KINGSBURY (DPT) as active in CMS-hosted NPPES data.
What kind of doctor is KRISTINE RENAE KINGSBURY (DPT)?
KRISTINE RENAE KINGSBURY (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is KRISTINE RENAE KINGSBURY (DPT) registered?
Use Duvall, Washington as the headline location for KRISTINE RENAE KINGSBURY (DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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