FUTACHAI RASAVONG (M.P.T.) – Physical Therapist, NPI 1225184013
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FUTACHAI RASAVONG (M.P.T.)
76th Street, Pleasant Prairie, Kenosha County, Wisconsin, 53142, United States
SUITE 2620
PLEASANT PRAIRIE, WI 531581984
Phone: (262) 577-8989
Type: Location
1726, West Morgan Avenue, Morgandale, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
MILWAUKEE, WI 532211634
Phone:
Type: Mailing
5301 S 108TH ST
HALES CORNERS, WI 531301332
Phone: (414) 529-7375
Fax: (414) 529-7567
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.
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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: 2011-09-16
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110916000296 | I | Physical Therapist In Private Practice | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 242 | 16 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 202 | 17 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 125 | 13 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 53158)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WI | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 338 | 14 |
Group practice members
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