CHRISTOPHER KADDATZ – Physical Therapist, NPI 1174131684

CHRISTOPHER KADDATZ is a healthcare provider. based in Anchorage, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 157404 (AK). The NPI Number for CHRISTOPHER KADDATZ is 1174131684

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER KADDATZ
NPI
1174131684
Phone
(907) 563-3460
Address
3801 LAKE OTIS PKWY STE 300
Enumeration Date
21 July 2020
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072495548
Graduation Year
2020 (6 years ago)
PAC ID
3375962145
Group Practice PAC ID
2961705520
Professional Enrollment ID
I20200928002241
Address ID
AK995084669AN3890XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

461 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for CHRISTOPHER KADDATZ

  • 3801 LAKE OTIS PKWY STE 300

    ANCHORAGE, AK 995085234

    Phone: (907) 563-3460

    Fax: (907) 563-3460

    Type: Location

  • 3890 University Lake Dr Ste 110

    Anchorage, AK 995084669

    Phone: (907) 562-2277

    Fax: (907) 563-3460

    Type: Location

  • 3801 LAKE OTIS PKWY

    ANCHORAGE, AK 995085234

    Phone: (907) 562-2277

    Type: Mailing

  • 1175 N LEATHERLEAF LOOP

    WASILLA, AK 996546527

    Phone: (907) 341-5240

    Type: Location

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: 2020-09-28

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
I20200928002241IPhysical Therapist In Private PracticeAKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes952115$0
97530Therapy procedure using functional activities28661$0
97140Therapy procedure using manual technique, each 15 minutes11339$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6125$0
97116Therapy procedure for walking training, each 15 minutes5319$0
View full utilization report →

Insurance plans in this area (ZIP 99508)

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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: 2961705520View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAK
Physician AssistantAK
Orthopedic SurgeryAK
P O D I A T R YTX
Orthopedic SurgeryLA
Physician AssistantAK
-AK
Osteopathic Manipulative Medicine, Family PracticeAK
Pain Management, Physical Medicine And RehabilitationAK
Orthopedic SurgeryAK

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHRISTOPHER KADDATZ?
CHRISTOPHER KADDATZ — NPI 1174131684 — is the standard way to identify this listing.
Can I rely on CHRISTOPHER KADDATZ being an active provider?
As of the registry snapshot, CHRISTOPHER KADDATZ is marked active.
What is CHRISTOPHER KADDATZ's primary classification?
Physical Therapist is the headline specialty for CHRISTOPHER KADDATZ here. Clinical services aligned with this taxonomy classification.
What area does CHRISTOPHER KADDATZ serve?
CHRISTOPHER KADDATZ's listing highlights Anchorage, Alaska; more addresses can appear in NPPES.
Why does CHRISTOPHER KADDATZ have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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