CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) – Physical Therapist, NPI 1003890229

CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) is a healthcare provider. based in Corona, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT DPT OCS WCS CHT. They hold a License No. PT17235 (CA). The NPI Number for CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) is 1003890229

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT)
NPI
1003890229
Phone
(951) 475-1307
Address
2815 S MAIN ST
Enumeration Date
1 December 2005
Last Update Date
7 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9515063001
Graduation Year
1990 (36 years ago)
PAC ID
8527021658
Group Practice PAC ID
7719030949
Professional Enrollment ID
I20041109000779
Address ID
CA925915211TE29645RDXX412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT)

  • South Main Street, Corona, Riverside County, California, 92882, United States

    STE. 205

    CORONA, CA 928822531

    Phone: (951) 475-1307

    Fax: (951) 475-1308

    Type: Location

  • 2815 S MAIN ST STE 205

    CORONA, CA 928822533

    Phone: (951) 475-1307

    Fax: (951) 475-1308

    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: 2004-11-09

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
I20041109000779IPhysical Therapist In Private PracticeCATBD

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 92882)

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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: 7719030949View full group profile
NameSpecialtyState
-CA
-CA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT)?
NPI 1003890229 is assigned to CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) under the national enumeration system.
Is CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) currently active in the NPI registry?
CMS-published data lists CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) as an active registrant.
What field does CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) work in?
You can think of CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT)?
We surface Corona, California for CHRISTINE MARIE EDDOW (PT DPT OCS WCS CHT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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