KAY B WIDMER-HREN (PT) – Physical Therapist, NPI 1255477121
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAY B WIDMER-HREN (PT)
800 MAIN ST LOT 381
DUNEDIN, FL 346985107
Phone: (920) 470-4510
Type: Mailing
1111 S HIGHLAND AVE
CLEARWATER, FL 337564432
Phone: (727) 446-0581
Type: Location
3305, North Ballard Road, Northeast Business Park, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549119001
Phone: (920) 735-9234
Type: Location
1401, Ridgeway Drive, Town of Neenah, Winnebago County, Wisconsin, 54956, United States
NEENAH, WI 549561930
Phone: (920) 725-4895
Type: Mailing
3305 N Ballard Rd Ste C
Appleton, WI 549119001
Phone: (920) 735-9234
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: 2013-06-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130606000404 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34698)
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