DR. KAITLYN BUSS (PT, DPT, MHA) – Physical Therapist, NPI 1427549203
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KAITLYN BUSS (PT, DPT, MHA)
3355, Hendricks Avenue, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322075301
Phone: (904) 731-3000
Type: Mailing
1712 Paseo Corto Dr
Cedar Park, TX 786131547
Phone: (512) 634-3636
Type: Location
2703 Legends Pkwy
Prattville, AL 360667755
Phone: (334) 380-4930
Fax: (205) 803-6605
Type: Location
3062 JOLLY RD
JACKSONVILLE, FL 322078856
Phone: (904) 860-0275
Type: Mailing
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (866) 518-0283
Type: Mailing
400 TOWER RD NE STE 140
MARIETTA, GA 300609412
Phone: (770) 419-9437
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: 2024-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20231107000695 | I | Physical Therapist In Private Practice | GA | TBD |
| I20240701000638 | I | Physical Therapist In Private Practice | SC | TBD |
| I20241212004366 | I | Physical Therapist In Private Practice | AL | 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 32207)
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