Kinetic Physical Therapy Associates – Physical Therapist, NPI 1356538136
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Kinetic Physical Therapy Associates
1406 SHADYWOOD LN
MOUNT PLEASANT, TX 754555337
Phone: (903) 572-6100
Fax: (903) 572-6127
Type: Mailing
1312, South Jefferson Avenue, Mount Pleasant, Titus County, Texas, 75455, United States
MT PLEASANT, TX 754555355
Phone: (903) 572-6100
Fax: (903) 572-6127
Type: Mailing
405 E Marshall St
Gilmer, TX 756442331
Phone: (903) 402-1052
Fax: (888) 335-2090
Type: Location
213 Highway 37 Ste 100
Mount Vernon, TX 754573106
Phone: (903) 270-6221
Fax: (903) 270-6223
Type: Location
2710 E Price St
Paris, TX 754604859
Phone: (903) 784-3173
Fax: (903) 784-7912
Type: Location
1406, Shadywood Lane, Mount Pleasant, Titus County, Texas, 75455, United States
MT PLEASANT, TX 754555337
Phone: (903) 572-6100
Fax: (903) 572-6127
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: 2008-04-02
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 |
|---|---|---|---|---|
| O20080402000390 | O | Physical/Occupational Therapy Group In Private Practice | TX | 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 75455)
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