CUSTOM PHYSICAL THERAPY AND FITNESS
NPI 1063083384
Physical Therapist in Cramerton, NC
About Custom Physical Therapy And Fitness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUSTOM PHYSICAL THERAPY AND FITNESS (NPI 1063083384) is a healthcare organization registered as a physical therapist in Cramerton, North Carolina and active in the NPI registry since July 2021. The organization maintains 3 additional practice locations and lists Kathryn E Miller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Custom Physical Therapy And Fitness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Custom Physical Therapy And Fitness, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Custom Physical Therapy And Fitness's NPI number?
The NPI number for Custom Physical Therapy And Fitness is 1063083384. It was assigned to this organization in the NPPES registry on July 7, 2021.
Where is Custom Physical Therapy And Fitness located?
Custom Physical Therapy And Fitness is located at 102 Hidden Pastures Dr Ste 106, Cramerton, NC 28032. The listed phone number is (563) 505-4524.
What is Custom Physical Therapy And Fitness's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Custom Physical Therapy And Fitness enrolled in Medicare?
Yes. Custom Physical Therapy And Fitness is registered in the Medicare PECOS enrollment system.
When is Custom Physical Therapy And Fitness's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Custom Physical Therapy And Fitness?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Custom Physical Therapy And Fitness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Custom Physical Therapy And Fitness accept?
Health plans from Blue Cross and Blue Shield of NC list Custom Physical Therapy And Fitness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Custom Physical Therapy And Fitness was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Custom Physical Therapy And Fitness · NPI 1063083384
Physical Therapist organization in Cramerton, North Carolina. Organization record, active in the CMS NPPES registry since July 7, 2021.
## Identity
- **NPI:** 1063083384 (Entity type: Organization)
- **Enumerated:** July 7, 2021
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Kathryn Miller, OWNER
## Practice location
- **Address:** 102 HIDDEN PASTURES DR STE 106, Cramerton, NC 28032-1697
- **Phone:** (563) 505-4524
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, North Carolina, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063083384) · Data from the CMS NPPES public registry.