MS. KIMBERLY JO DEVAULT (P.T.) – Orthopedic Physical Therapist, NPI 1083659437

MS. KIMBERLY JO DEVAULT (P.T.) is a healthcare provider. based in Janesville, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 3874-024 (WI). The NPI Number for MS. KIMBERLY JO DEVAULT (P.T.) is 1083659437

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY JO DEVAULT (P.T.)
NPI
1083659437
Phone
(608) 371-8000
Address
3200 E Racine St
Enumeration Date
19 June 2006
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082211501
Graduation Year
1989 (37 years ago)
PAC ID
0840291571
Group Practice PAC ID
9537137484
Professional Enrollment ID
I20070124000273
Address ID
WI537161392MA4901XRDXX400

Contacts

Secure Messaging
kdevault260843@direct-ehr-ssmhc.com
FHIR Endpoint
https//fhir.ssmhc.com/fhir/api/FHIR/DSTU2
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for MS. KIMBERLY JO DEVAULT (P.T.)

  • 3200 E Racine St

    Janesville, WI 535462343

    Phone: (608) 371-8000

    Type: Location

  • 4901, Cottage Grove Road, Madison, Dane County, Wisconsin, 53716, United States

    MADISON, WI 537161392

    Phone: (608) 221-1501

    Fax: (608) 223-3540

    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: 2007-01-24

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
I20070124000273IPhysical Therapist In Private PracticeWITBD

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 minutes19138$0
97140Therapy procedure using manual technique, each 15 minutes14826$0
97032Application of electrical stimulation with therapist present, each 15 minutes4115$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2512$0
97162Evaluation for physical therapy, typically 30 minutes2521$0
View full utilization report →

Insurance plans in this area (ZIP 53546)

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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: 9537137484View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Clinical Social WorkerWI
-IA
Physician AssistantWI
Family PracticeWI
Family PracticeWI
Family PracticeWI
Family PracticeWI
Family PracticeWI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

Is there an official ID for MS. KIMBERLY JO DEVAULT (P.T.) in U.S. healthcare records?
The official identifier for MS. KIMBERLY JO DEVAULT (P.T.) is NPI 1083659437.
Is there an active status for MS. KIMBERLY JO DEVAULT (P.T.)?
For scheduling context, MS. KIMBERLY JO DEVAULT (P.T.) is shown as active in the registry.
How would a patient describe MS. KIMBERLY JO DEVAULT (P.T.)'s focus?
For MS. KIMBERLY JO DEVAULT (P.T.), the primary taxonomy reads as Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. KIMBERLY JO DEVAULT (P.T.)?
Travel planning: use Janesville, Wisconsin as the reference point for MS. KIMBERLY JO DEVAULT (P.T.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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