MRS. KIMBERLY ANNE TEDESCO PT
NPI 1154538999
Physical Therapist in Evansville, WI

Active since May 17, 2007Accepts Medicare Assignment
470 GARFIELD AVE, EVANSVILLE, WI 53536(608) 882-6557 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kimberly Anne Tedesco Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY ANNE TEDESCO PT (NPI 1154538999) is an individual physical therapist in Evansville, Wisconsin, licensed in Wisconsin (10322-024) and active in the NPI registry since May 2007. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1154538999
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. KIMBERLY ANNE TEDESCOCredential: PT
Location Address470 GARFIELD AVEEvansville, WI 53536-1014
Mailing Address695 W Main StEvansville, WI 53536-1084 · (608) 882-9961
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154538999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 10322-024
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
470 GARFIELD AVE, Evansville, WI 53536

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly Anne Tedesco Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567487465
PECOS Enrollment IDI20250813000997

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Tedesco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
631 HAZEL ST
Oshkosh, WI 54901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 89 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
470 GARFIELD AVE
EVANSVILLE, WI 53536
Speech-Language Pathologist
470 GARFIELD AVE
EVANSVILLE, WI 53536
Occupational Therapy Assistant
470 GARFIELD AVE
EVANSVILLE, WI 53536
Physical Therapist
470 GARFIELD AVE
EVANSVILLE, WI 53536
Skilled Nursing Facility
470 GARFIELD AVE
EVANSVILLE, WI 53536
Physical Therapist
470 GARFIELD AVE
EVANSVILLE, WI 53536
Physical Therapy Assistant
470 GARFIELD AVE
EVANSVILLE, WI 53536
Skilled Nursing Facility
470 GARFIELD AVE
EVANSVILLE, WI 53536

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 Kimberly Tedesco's NPI number?

The NPI number for Kimberly Tedesco is 1154538999. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Kimberly Tedesco located?

Kimberly Tedesco practices at 470 Garfield Ave, Evansville, WI 53536. The listed phone number is (608) 882-6557.

What is Kimberly Tedesco's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kimberly Tedesco enrolled in Medicare?

Yes. Kimberly Tedesco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kimberly Tedesco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tedesco reassigns Medicare benefits to Oasis Therapy Services LLC (Oshkosh, WI). The 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 Kimberly Tedesco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Tedesco accept?

Health plans from Group Health Cooperative-SCW and UnitedHealthcare list Kimberly Tedesco 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 Kimberly Tedesco was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.