CAMDEN BLAKE TUCKER (DPT) – Physical Therapist, NPI 1831989805

CAMDEN BLAKE TUCKER (DPT) is a healthcare provider. based in Pelham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2-1443 (AL). The NPI Number for CAMDEN BLAKE TUCKER (DPT) is 1831989805

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CAMDEN BLAKE TUCKER (DPT)
NPI
1831989805
Phone
(205) 942-6820
Address
245 CAHABA VALLEY PKWY
Enumeration Date
12 May 2025
Last Update Date
12 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054623097
Graduation Year
2025 (1 year ago)
PAC ID
6305349283
Group Practice PAC ID
8426366527
Professional Enrollment ID
I20250915003368
Address ID
AL354011019TU401XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,477 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for CAMDEN BLAKE TUCKER (DPT)

  • 245 CAHABA VALLEY PKWY

    PELHAM, AL 351242216

    Phone: (205) 942-6820

    Fax: (205) 421-0900

    Type: Mailing

  • 39546 AL HIGHWAY 69

    MOUNDVILLE, AL 354744238

    Phone: (205) 450-9114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250915003368IPhysical Therapist In Private PracticeALTBD

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.

Verify on CMS Revalidation Lookup Tool

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 35124)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426366527View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-AL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to CAMDEN BLAKE TUCKER (DPT)?
NPI 1831989805 is assigned to CAMDEN BLAKE TUCKER (DPT) under the national enumeration system.
Does this profile mean CAMDEN BLAKE TUCKER (DPT) is currently active?
Yes — CAMDEN BLAKE TUCKER (DPT) appears active in the national provider directory.
Does CAMDEN BLAKE TUCKER (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for CAMDEN BLAKE TUCKER (DPT). Clinical services aligned with this taxonomy classification.
Where is CAMDEN BLAKE TUCKER (DPT)'s primary listing?
We display Pelham, Alabama because that is what the record indicates for CAMDEN BLAKE TUCKER (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

245, Cahaba Valley Parkway, Indian Hills, Pelham, Shelby County, Alabama, 35124, United States
NPI: 1164476644

JENNIFER L DAIGREPONT (PT)

Physical Therapist
4128 HERITAGE PL
NPI: 1316983653

MARC BERNIER (PT)

Physical Therapist
3143 PELHAM PKWY STE 400
NPI: 1508897984
1367, Dearing Downs Circle, Dearing Downs, Helena, Shelby County, Alabama, 35080, United States
NPI: 1891807525

THERAPY SOUTH PELHAM, LLC

Physical Therapist
Pelham, Town of Pelham, New York, 10803, United States
NPI: 1730286964
121, Glenview Drive, Crestline Park, Birmingham, Jefferson County, Alabama, 35213, United States
NPI: 1174624167
239 CHEROKEE CV
NPI: 1396833455
245, Cahaba Valley Parkway, Indian Hills, Pelham, Shelby County, Alabama, 35124, United States
NPI: 1477635126
PO BOX 244
NPI: 1790868768