CARTER RYAN PHILLIPS (PT, DPT) – Physical Therapist, NPI 1194241679
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA
Provider Addresses for CARTER RYAN PHILLIPS (PT, DPT)
850 W IRONWOOD DR STE 202
COEUR D ALENE, ID 838144903
Phone: (208) 601-6038
Fax: (208) 664-1226
Type: Mailing
7650 SE 27TH ST STE 112
MERCER ISLAND, WA 980403060
Phone: (206) 230-8320
Type: Location
3535 General Atomics Ct
San Diego, CA 921211140
Phone: (858) 724-0392
Type: Location
1812 N Lakewood Dr Ste 100
Coeur D Alene, ID 838142635
Phone: (208) 966-4476
Fax: (208) 966-4475
Type: Location
3535, General Atomics Court, Torrey Pines, San Diego, San Diego County, California, 92121, United States
SAN DIEGO, CA 921211140
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: 2025-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250220002849 | I | Physical Therapist In Private Practice | WA | TBD |
| I20251229002498 | I | Physical Therapist In Private Practice | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 1,059 | 90 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,026 | 84 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 176 | 40 | $0 |
| 97150 | Therapy procedure in a group setting | 174 | 45 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 131 | 26 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TN | |
| Orthopedic Surgery | ID | |
| - | WA | |
| - | ID | |
| Occupational Therapist In Private Practice | ID | |
| Physician Assistant | ID | |
| Orthopedic Surgery | ID | |
| Orthopedic Surgery | ID | |
| Orthopedic Surgery | ID | |
| - | ID |
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