CARTER A LAKE (PT) – Physical Therapist, NPI 1427113331

CARTER A LAKE (PT) is a healthcare provider. based in Milton freewater, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4916 (OR). The NPI Number for CARTER A LAKE (PT) is 1427113331

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
CARTER A LAKE (PT)
NPI
1427113331
Phone
(509) 588-2924
Address
1020 S MAIN ST
Enumeration Date
22 December 2006
Last Update Date
3 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099672700
Graduation Year
2003 (23 years ago)
PAC ID
5799729950
Group Practice PAC ID
6305747643
Professional Enrollment ID
I20070816000518
Address ID
WA993535085WE4791XSTXX500
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

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for CARTER A LAKE (PT)

  • South Main Street, Milton-Freewater, Umatilla County, Oregon, 97862, United States

    MILTON FREEWATER, OR 978621534

    Phone: (509) 588-2924

    Fax: (509) 588-4564

    Type: Location

  • 824 W LEWIS ST STE 204

    PASCO, WA 993015561

    Phone: (509) 544-0265

    Fax: (509) 544-0304

    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: 2007-08-16

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
I20070816000518IPhysical 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 activities91083$0
97140Therapy procedure using manual technique, each 15 minutes47974$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44258$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care35464$0
97161Evaluation for physical therapy, typically 20 minutes7068$0
View full utilization report →

Insurance plans in this area (ZIP 97862)

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Provider's Procedures

CARTER A LAKE (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 THERAPYOR97001Physical therapy evaluation11197

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: 6305747643View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What unique ID ties claims to CARTER A LAKE (PT)?
NPI 1427113331 is assigned to CARTER A LAKE (PT) under the national enumeration system.
Is CARTER A LAKE (PT) active in the national directory?
CARTER A LAKE (PT)'s public NPI profile is in an active state.
What kind of provider is CARTER A LAKE (PT)?
The page reflects Physical Therapist for CARTER A LAKE (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for CARTER A LAKE (PT)?
The page summarizes Milton Freewater, Oregon for CARTER A LAKE (PT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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