KELLY D ASHBECK (PT) – Physical Therapist, NPI 1083865174

KELLY D ASHBECK (PT) is a healthcare provider. based in Stevens point, Wisconsin. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 01992 (WI). The NPI Number for KELLY D ASHBECK (PT) is 1083865174

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KELLY D ASHBECK (PT)
NPI
1083865174
Phone
(715) 346-5190
Address
900 ILLINOIS AVENUE
Enumeration Date
7 October 2008
Last Update Date
7 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202302747
Graduation Year
2008 (18 years ago)
PAC ID
5496067936
Group Practice PAC ID
5294008967
Professional Enrollment ID
I20150713000002
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY D ASHBECK (PT)

  • Ascension St. Michael's Hospital, 900, Illinois Avenue, Stevens Point, Portage County, Wisconsin, 54481, United States

    STEVENS POINT, WI 544813114

    Phone: (715) 346-5190

    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: 2015-07-13

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
I20150713000002IPhysical 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.

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

Insurance plans in this area (ZIP 54481)

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Provider's Procedures

KELLY D ASHBECK (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWI97001Physical therapy evaluation2726

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: 5294008967View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeWI
Physical Medicine And RehabilitationWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

Can I use this page to confirm KELLY D ASHBECK (PT)'s NPI?
Yes. KELLY D ASHBECK (PT) is listed with NPI 1083865174 in the public NPI dataset.
Does CMS list KELLY D ASHBECK (PT) as active?
Yes — KELLY D ASHBECK (PT) is active in the NPI listing used on this page.
What taxonomy line describes KELLY D ASHBECK (PT)?
For research purposes, treat KELLY D ASHBECK (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is KELLY D ASHBECK (PT) based?
KELLY D ASHBECK (PT) is tied to Stevens Point, Wisconsin in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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