CALEB LYNCH (PT, DPT, CERT DN) – Physical Therapist, NPI 1457984841

CALEB LYNCH (PT, DPT, CERT DN) is a healthcare provider. based in Green valley, Arizona. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, CERT DN. They hold a License No. 30956 (AZ). The NPI Number for CALEB LYNCH (PT, DPT, CERT DN) is 1457984841

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
CALEB LYNCH (PT, DPT, CERT DN)
NPI
1457984841
Phone
(520) 462-0439
Address
1055 N LA CANADA DR STE 123
Enumeration Date
13 February 2020
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203722724
Graduation Year
2018 (8 years ago)
PAC ID
3577991637
Group Practice PAC ID
8426032061
Professional Enrollment ID
I20200324000924
Address ID
AZ857464112TU1360XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,784 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for CALEB LYNCH (PT, DPT, CERT DN)

  • 1055 N LA CANADA DR STE 123

    GREEN VALLEY, AZ 856143700

    Phone: (520) 462-0439

    Type: Location

  • 1284 WENTWORTH COVE CT

    WINDER, GA 306805218

    Phone:

    Type: Mailing

  • 3017 S PATRICK CIR

    TUCSON, AZ 857302911

    Phone: (678) 994-9572

    Type: Mailing

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: 2020-03-24

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
I20200324000924IPhysical Therapist In Private PracticeAZTBD

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 85614)

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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: 8426032061View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Undefined Non Physician Type (Specify), Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

Can I verify CALEB LYNCH (PT, DPT, CERT DN) with an NPI only?
You can start verification with NPI 1457984841 for CALEB LYNCH (PT, DPT, CERT DN), then check state licensing separately.
Does CMS list CALEB LYNCH (PT, DPT, CERT DN) as active?
Yes — CALEB LYNCH (PT, DPT, CERT DN) is active in the NPI listing used on this page.
What taxonomy line describes CALEB LYNCH (PT, DPT, CERT DN)?
For research purposes, treat CALEB LYNCH (PT, DPT, CERT DN) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does CALEB LYNCH (PT, DPT, CERT DN) serve?
CALEB LYNCH (PT, DPT, CERT DN)'s listing highlights Green Valley, Arizona; more addresses can appear in NPPES.
Is the information about CALEB LYNCH (PT, DPT, CERT DN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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