CHRISTINE EARDLEY (PT) – Physical Therapist, NPI 1154403889

CHRISTINE EARDLEY (PT) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501003288 (MI). The NPI Number for CHRISTINE EARDLEY (PT) is 1154403889

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE EARDLEY (PT)
NPI
1154403889
Phone
Not provided
Address
4085 BURTON ST SE
Enumeration Date
20 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607522673
Graduation Year
1986 (40 years ago)
PAC ID
5294733416
Group Practice PAC ID
3577532290
Professional Enrollment ID
I20160616000983
Address ID
WA982257448BE1514XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for CHRISTINE EARDLEY (PT)

  • Burton Street Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49547, United States

    STE 200

    GRAND RAPIDS, MI 495462444

    Phone:

    Type: Mailing

  • Lake Drive Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49546, United States

    STE 114

    GRAND RAPIDS, MI 495468816

    Phone: (616) 726-8365

    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: 2016-06-16

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
I20160616000983IPhysical 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 activities52183$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46184$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43084$0
97140Therapy procedure using manual technique, each 15 minutes37137$0
97535Training for self-care or home management, each 15 minutes16735$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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Provider's Procedures

CHRISTINE EARDLEY (PT) 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 THERAPYMI97001Physical therapy evaluation4242

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: 3577532290View full group profile
NameSpecialtyState
-WA
-WA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeGA
-WA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Does CHRISTINE EARDLEY (PT) have a public NPI I can cite?
Public records show CHRISTINE EARDLEY (PT) under NPI 1154403889.
Is CHRISTINE EARDLEY (PT)'s NPI status active today?
Active status means CHRISTINE EARDLEY (PT)'s NPI record is not deactivated in the public file.
What services align with CHRISTINE EARDLEY (PT)'s listing?
CHRISTINE EARDLEY (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHRISTINE EARDLEY (PT)?
CHRISTINE EARDLEY (PT) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Who maintains CHRISTINE EARDLEY (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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