Christopher Stan Rafacz, PT, DPT
NPI 1902418197ActiveIndividual· Physical Therapist· Bolivar, TN
Physical Therapist (PT, DPT) with Kitsap Physical Therapy and Sports Clinic Ps Inc, practicing in Bolivar, Tennessee. Medicare paid $53,502 for services to 150 patients in 2024.
Overview
| NPI | 1902418197 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 19, 2020 |
| Last updated in NPPES | Mar 29, 2022 |
| Certified by provider | Mar 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 14096 | TN |
| Physical Therapist | 225100000X | 05013856A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ); Practitioner - Physical Therapist in Private Practice (IL); Practitioner - Physical Therapist in Private Practice (OR); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 150 |
|---|---|
| Services billed | 2,438 across 12 procedure codes |
| Paid by Medicare | $53,502 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Kitsap Physical Therapy and Sports Clinic Ps IncSilverdale, WA · 138 clinicians
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