DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) – Physical Therapist, NPI 1932566254

DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) is a healthcare provider. based in West covina, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, CSCS, TPI. They hold a License No. 10492 (CA). The NPI Number for DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) is 1932566254

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI)
NPI
1932566254
Phone
(626) 483-4846
Address
3327 E Toni Dr
Enumeration Date
16 January 2016
Last Update Date
18 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8086009148
Graduation Year
2017 (9 years ago)
PAC ID
9335493725
Group Practice PAC ID
2668771999
Professional Enrollment ID
I20181121002704
Address ID
HI967014702AI98XXXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI)

  • 3327 E Toni Dr

    West Covina, CA 917913030

    Phone: (626) 483-4846

    Type: Location

  • 599 FARRINGTON HWY STE 102

    KAPOLEI, HI 967072028

    Phone:

    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: 2018-11-21

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
I20181121002704IPhysical Therapist In Private PracticeHITBD

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 91791)

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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: 2668771999View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeHI
Occupational Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

What number should I use to identify DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) for billing?
Administrative and clinical systems typically use NPI 1932566254 for DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI).
Should I treat DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) as an active provider?
Patients and plans typically see DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) as active in the national extract.
What type of care does DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) provide?
DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI) in West Covina, California?
For routing, start with West Covina, California for DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI), then verify phone and hours locally.
Can I export DR. JAMES THIBODEAU (PT, DPT, CSCS, TPI)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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