SPENCER KIRSTEATTER (DPT) – Physical Therapist, NPI 1043045578

SPENCER KIRSTEATTER (DPT) is a healthcare provider. based in Kewaunee, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. CP033302T (VA). The NPI Number for SPENCER KIRSTEATTER (DPT) is 1043045578

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER KIRSTEATTER (DPT)
NPI
1043045578
Phone
(920) 304-9089
Address
N2539 Sleepy Hollow Rd
Enumeration Date
4 September 2024
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5206948888
Graduation Year
2024 (2 years ago)
PAC ID
1456888411
Group Practice PAC ID
2062773138
Professional Enrollment ID
I20250102003034
Address ID
AZ857046204TU265XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:1State licenses:3Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for SPENCER KIRSTEATTER (DPT)

  • N2539 Sleepy Hollow Rd

    Kewaunee, WI 542169636

    Phone: (920) 304-9089

    Type: Location

  • 101 W 14th St

    Front Royal, VA 226303607

    Phone: (540) 636-3500

    Type: Location

  • 54 Franklin St

    Weyers Cave, VA 244862347

    Phone: (540) 234-8800

    Type: Location

  • 5977 E Grant Rd Ste 101

    Tucson, AZ 857122369

    Phone: (520) 448-5700

    Type: Location

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone: (866) 370-8206

    Type: Mailing

  • 126 E MAIN ST

    PAYSON, AZ 855415488

    Phone: (928) 468-8907

    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: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250102003034IPhysical Therapist In Private PracticeAZTBD
I20250113000789IPhysical 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.

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

Insurance plans in this area (ZIP 54216)

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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: 2062773138View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyTN
-AZ
General Surgery, Vascular SurgeryAZ
Orthopedic Surgery, Hand SurgeryAZ
Physician AssistantWA
Physician AssistantAZ
Internal MedicineAZ
Internal MedicineAZ
-AZ
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is SPENCER KIRSTEATTER (DPT)'s NPI number?
SPENCER KIRSTEATTER (DPT)'s NPI is 1043045578 — the number used across U.S. healthcare to identify this provider.
Is SPENCER KIRSTEATTER (DPT) shown as active in public data?
Registry records indicate SPENCER KIRSTEATTER (DPT) maintains an active NPI.
How would a patient describe SPENCER KIRSTEATTER (DPT)'s focus?
For SPENCER KIRSTEATTER (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is SPENCER KIRSTEATTER (DPT) registered?
Use Kewaunee, Wisconsin as the headline location for SPENCER KIRSTEATTER (DPT) here.
Can I trust this NPI listing for SPENCER KIRSTEATTER (DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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