ANDREA CORALIE CEDENO-TOBON (PT, DPT) – Physical Therapist, NPI 1578044756

ANDREA CORALIE CEDENO-TOBON (PT, DPT) is a healthcare provider. based in Chattanooga, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT013511 (GA). The NPI Number for ANDREA CORALIE CEDENO-TOBON (PT, DPT) is 1578044756

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA CORALIE CEDENO-TOBON (PT, DPT)
NPI
1578044756
Phone
(423) 238-7217
Address
6397 LEE HWY STE 300
Enumeration Date
24 August 2018
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6509479646
Graduation Year
2012 (14 years ago)
PAC ID
0042564205
Group Practice PAC ID
6507259538
Professional Enrollment ID
I20201217002638
Address ID
CA940245401LO794XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for ANDREA CORALIE CEDENO-TOBON (PT, DPT)

  • 6397 LEE HWY STE 300

    CHATTANOOGA, TN 374212564

    Phone: (423) 238-7217

    Fax: (423) 362-8684

    Type: Mailing

  • 1860 EL CAMINO REAL STE 201

    BURLINGAME, CA 940103111

    Phone: (650) 259-8009

    Fax: (650) 259-9769

    Type: Mailing

  • 1860 EL CAMINO REAL STE E

    BURLINGAME, CA 940103127

    Phone: (650) 259-8009

    Fax: (650) 259-9769

    Type: Location

  • Chamblee Tucker Road, Doraville, DeKalb County, Georgia, 30341, United States

    CHAMBLEE, GA 303414421

    Phone: (770) 936-8025

    Fax: (770) 936-9890

    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: 2020-12-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181107001418IPhysical Therapist In Private PracticeGATBD
I20201217002638IPhysical Therapist In Private PracticeCATBD

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 activities16325$0
97535Training for self-care or home management, each 15 minutes13428$0
97140Therapy procedure using manual technique, each 15 minutes11824$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8218$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6713$0
View full utilization report →

Insurance plans in this area (ZIP 37421)

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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: 6507259538View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference ANDREA CORALIE CEDENO-TOBON (PT, DPT)?
For ANDREA CORALIE CEDENO-TOBON (PT, DPT), use NPI 1578044756 as the unique 10-digit identifier.
Is ANDREA CORALIE CEDENO-TOBON (PT, DPT) still an active registrant?
ANDREA CORALIE CEDENO-TOBON (PT, DPT) carries an active NPI according to the public dataset.
What expertise is attributed to ANDREA CORALIE CEDENO-TOBON (PT, DPT)?
ANDREA CORALIE CEDENO-TOBON (PT, DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with ANDREA CORALIE CEDENO-TOBON (PT, DPT)?
Directory geography for ANDREA CORALIE CEDENO-TOBON (PT, DPT) centers on Chattanooga, Tennessee.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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