TRACY EDWARD TEAGUE (PT) – Physical Therapist, NPI 1841486099

TRACY EDWARD TEAGUE (PT) is a healthcare provider. based in Murrieta, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT00005870 (WA). The NPI Number for TRACY EDWARD TEAGUE (PT) is 1841486099

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
TRACY EDWARD TEAGUE (PT)
NPI
1841486099
Phone
(951) 696-9353
Address
24630 WASHINGTON AVE STE 200
Enumeration Date
21 September 2007
Last Update Date
29 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538268520
Graduation Year
1992 (34 years ago)
PAC ID
2264754886
Group Practice PAC ID
9739237595
Professional Enrollment ID
I20141209001389
Address ID
WA983914101BO21525EXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for TRACY EDWARD TEAGUE (PT)

  • Washington Avenue, Murrieta, Riverside County, California, 92562, United States

    MURRIETA, CA 925626177

    Phone: (951) 696-9353

    Fax: (951) 973-7216

    Type: Mailing

  • 14207 MERIDIAN E STE 100

    PUYALLUP, WA 983732414

    Phone: (253) 770-1807

    Fax: (253) 770-1985

    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: 2014-12-09

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
I20141209001389IPhysical Therapist In Private PracticeWATBD

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 92562)

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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: 9739237595View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeAZ
-WA
Physical Therapist In Private PracticeWA
-WA

Reviews

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Frequently asked questions

What identifier follows TRACY EDWARD TEAGUE (PT) across health systems?
The NPI 1841486099 uniquely identifies TRACY EDWARD TEAGUE (PT) in U.S. healthcare data.
Should I treat TRACY EDWARD TEAGUE (PT) as an active provider?
Patients and plans typically see TRACY EDWARD TEAGUE (PT) as active in the national extract.
What services align with TRACY EDWARD TEAGUE (PT)'s listing?
TRACY EDWARD TEAGUE (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to TRACY EDWARD TEAGUE (PT)?
The directory associates TRACY EDWARD TEAGUE (PT) with Murrieta, California. Check all listed addresses for suites or satellite offices.
Who maintains TRACY EDWARD TEAGUE (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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