ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA – Physical Therapist, NPI 1710097043

ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA is a healthcare provider. based in Abilene, Kansas. specializing in Physical Therapist. The organization holds a License No. 11-01669 (KS). The NPI Number for ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA is 1710097043

Main info

Organization
Name
ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA
NPI
1710097043
Phone
(785) 263-3646
Address
103 NW 15TH ST
Authorized Official
JANETTE FROELICH ACCOUNTS MANAGER
Enumeration Date
30 August 2006
Last Update Date
9 June 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA

  • 103, Northwest 15th Street, Abilene, Dickinson County, Kansas, 67410, United States

    ABILENE, KS 674101547

    Phone: (785) 263-3646

    Fax: (785) 263-3689

    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: 2004-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (924 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
O20041217000429OPhysical/Occupational Therapy Group In Private PracticeKS2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 67410)

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Reviews

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Frequently asked questions

How is ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA identified in CMS data?
CMS-hosted NPPES data lists ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA with NPI 1710097043.
Can I rely on ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA being an active provider?
As of the registry snapshot, ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA is marked active.
What is ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA's primary classification?
Physical Therapist is the headline specialty for ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA here. Clinical services aligned with this taxonomy classification.
Where is ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA based?
ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA is tied to Abilene, Kansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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