MR. CHAD RYAN MOELLER (ATC, AT/L) – Physical Therapist, NPI 1760705040

MR. CHAD RYAN MOELLER (ATC, AT/L) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials ATC, AT/L. They hold a License No. 0895 (AZ). The NPI Number for MR. CHAD RYAN MOELLER (ATC, AT/L) is 1760705040

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHAD RYAN MOELLER (ATC, AT/L)
NPI
1760705040
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
1 March 2010
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2023 (3 years ago)
PAC ID
0042674608
Group Practice PAC ID
7416283817
Professional Enrollment ID
I20230914003017
Address ID
WA98006XXXXBEXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MR. CHAD RYAN MOELLER (ATC, AT/L)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 6601 220TH ST SW STE 1

    MOUNTLAKE TERRACE, WA 980432166

    Phone: (425) 775-7274

    Fax: (425) 775-0963

    Type: Location

  • 7205 E Superstition Springs Blvd Apt 1137

    Mesa, AZ 852094042

    Phone: (920) 321-6300

    Type: Location

  • 7205 E SUPERSTITION SPRINGS BLVD APT 1137

    MESA, AZ 852094042

    Phone: (920) 321-6300

    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: 2023-09-14

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
I20230914003017IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities20221$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13922$0
97140Therapy procedure using manual technique, each 15 minutes3613$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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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: 7416283817View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-MI
Physical Therapist In Private PracticeWA
-WA
-WA
Physical Therapist In Private PracticeIL
-WA
-WA
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the standard ID for MR. CHAD RYAN MOELLER (ATC, AT/L) in the U.S.?
In the U.S., MR. CHAD RYAN MOELLER (ATC, AT/L) is identified by NPI 1760705040.
Is MR. CHAD RYAN MOELLER (ATC, AT/L)'s NPI status active today?
Active status means MR. CHAD RYAN MOELLER (ATC, AT/L)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. CHAD RYAN MOELLER (ATC, AT/L)?
NPPES ties MR. CHAD RYAN MOELLER (ATC, AT/L) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. CHAD RYAN MOELLER (ATC, AT/L)?
MR. CHAD RYAN MOELLER (ATC, AT/L) shows a connection to Bolingbrook, Illinois in registry-derived data.
Who maintains MR. CHAD RYAN MOELLER (ATC, AT/L)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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