KIMBERLY A WHITFORD (PT) – Physical Therapist, NPI 1467436287

KIMBERLY A WHITFORD (PT) is a healthcare provider. based in La crosse, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4201 (WI). The NPI Number for KIMBERLY A WHITFORD (PT) is 1467436287

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A WHITFORD (PT)
NPI
1467436287
Phone
(608) 785-0940
Address
700 WEST AVE S
Enumeration Date
5 December 2005
Last Update Date
31 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083260808
Graduation Year
1991 (35 years ago)
PAC ID
3476514894
Group Practice PAC ID
0345152443
Professional Enrollment ID
I20041020000063
Address ID
WI538211698PR800XXAVEX400

Contacts

Secure Messaging
kwhitford27612@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,000 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for KIMBERLY A WHITFORD (PT)

  • Mayo Clinic Health System – Franciscan Healthcare, 700, West Avenue South, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546014783

    Phone: (608) 785-0940

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (608) 785-0940

    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: 2004-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041020000063IPhysical 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 54601)

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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: 0345152443View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
Interventional Cardiology, Cardiovascular Disease (Cardiology), Emergency MedicineMN
-WI
-MN
-MN
Physician AssistantMN

Reviews

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Frequently asked questions

Can I verify KIMBERLY A WHITFORD (PT) with an NPI only?
You can start verification with NPI 1467436287 for KIMBERLY A WHITFORD (PT), then check state licensing separately.
Can I rely on KIMBERLY A WHITFORD (PT) being an active provider?
As of the registry snapshot, KIMBERLY A WHITFORD (PT) is marked active.
What is KIMBERLY A WHITFORD (PT)'s primary classification?
Physical Therapist is the headline specialty for KIMBERLY A WHITFORD (PT) here. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY A WHITFORD (PT) based?
KIMBERLY A WHITFORD (PT) is tied to La Crosse, Wisconsin in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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