MR. CLYDE JAMES JR. PICH (PT) – Physical Therapist, NPI 1821108853
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO
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Provider Addresses for MR. CLYDE JAMES JR. PICH (PT)
549, East 6th Street, Brenham, Washington County, Texas, 77833, United States
WASHINGTON, MO 63090
Phone: (636) 390-9067
Type: Mailing
Anytime Fitness, 2022, Phoenix Center Drive, Phoenix Center II, Washington, Franklin County, Missouri, 63090, United States
WASHINGTON, MO 63090
Phone: (636) 239-9979
Fax: (636) 239-5442
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: 2010-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (953 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20101221000145 | I | Physical Therapist In Private Practice | MO | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 618 | 37 | $0 |
| 97530 | Therapy procedure using functional activities | 318 | 27 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 213 | 30 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 55 | 12 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 63090)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MO | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 651 | 46 |
| PHYSICAL THERAPY | MO | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 63 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Occupational Therapist In Private Practice | MO | |
| Physical Therapist In Private Practice | MO | |
| Physical Therapist In Private Practice | MO | |
| Occupational Therapist In Private Practice | MO | |
| Physical Therapist In Private Practice | MO | |
| Occupational Therapist In Private Practice | MO | |
| Physical Therapist In Private Practice | MO | |
| Physical Therapist In Private Practice | MO |
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