FIT Physical Therapy – Specialist, NPI 1205838265
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FIT Physical Therapy
617 E Riverside Dr Ste 303
St George, UT 847908722
Phone: (356) 734-3034
Type: Location
475 N Moapa Valley Blvd
Overton, NV 89040
Phone: (702) 397-6700
Fax: (435) 397-6707
Type: Location
1532 E 1450 S
St George, UT 847906124
Phone: (435) 359-9200
Type: Location
2192 W 100 N
Hurricane, UT 847371329
Phone: (435) 767-0747
Type: Location
Falcon Ridge Parkway, Mesquite, Clark County, Nevada, 89027, United States
BUILDING 500
MESQUITE, NV 89027
Phone: (702) 346-3105
Fax: (702) 346-3544
Type: Location
1040 W Utah Avenue
Hildale, UT 84784
Phone: (435) 429-0119
Type: Location
PO BOX 69
MESQUITE, NV 890240069
Phone: (702) 346-3105
Fax: (703) 346-3544
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: 2015-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (832 days ago).
Enrollment records
2
Earliest due date
2024-02-29
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 |
|---|---|---|---|---|
| O20120703000495 | O | Physical/Occupational Therapy Group In Private Practice | NV | TBD |
| O20150512002603 | O | Physical/Occupational Therapy Group In Private Practice | UT | 2024-02-29 |
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.
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 84790)
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