TENAY DANIELLE MADDOX (DPT) – Physical Therapist, NPI 1104140490

TENAY DANIELLE MADDOX (DPT) is a healthcare provider. based in Menlo park, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 36577 (CA). The NPI Number for TENAY DANIELLE MADDOX (DPT) is 1104140490

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TENAY DANIELLE MADDOX (DPT)
NPI
1104140490
Phone
(866) 839-6979
Address
68 Willow Rd
Enumeration Date
16 March 2010
Last Update Date
30 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7142558877
Graduation Year
2009 (17 years ago)
PAC ID
3779711965
Group Practice PAC ID
6709788896
Professional Enrollment ID
I20140115001162
Address ID
CA928213921BR471XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for TENAY DANIELLE MADDOX (DPT)

  • 68 Willow Rd

    Menlo Park, CA 940253653

    Phone: (866) 839-6979

    Type: Location

  • 2101, East 4th Street, Santa Ana, Orange County, California, 92705, United States

    SANTA ANA, CA 927053814

    Phone: (714) 558-3977

    Type: Location

  • 6218,6219, Archway, Portola Place Apartment Homes, Portola Springs, Irvine, Orange County, California, 92618, United States

    IRVINE, CA 926188835

    Phone: (562) 841-2032

    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: 2014-01-15

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
I20140115001162IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities18653$0
97140Therapy procedure using manual technique, each 15 minutes14357$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7543$0
97161Evaluation for physical therapy, typically 20 minutes1919$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 94025)

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Provider's Procedures

TENAY DANIELLE MADDOX (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11028

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: 6709788896View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Occupational Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeAZ

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Frequently asked questions

What NPI should I save for TENAY DANIELLE MADDOX (DPT)?
Save NPI 1104140490 if you need a stable reference for TENAY DANIELLE MADDOX (DPT).
Is TENAY DANIELLE MADDOX (DPT)'s NPI currently valid?
The extract we use shows TENAY DANIELLE MADDOX (DPT) as active.
Does TENAY DANIELLE MADDOX (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for TENAY DANIELLE MADDOX (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for TENAY DANIELLE MADDOX (DPT)?
The page summarizes Menlo Park, California for TENAY DANIELLE MADDOX (DPT); expand the address list for detail.
Is TENAY DANIELLE MADDOX (DPT) a real provider?
This page reflects official NPPES data for NPI 1104140490. Always confirm identity and privileges with the practice and licensing boards.

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