TRACY WALKER (PT) – Physical Therapist, NPI 1164446019

TRACY WALKER (PT) is a healthcare provider. based in Logan, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 350766-2401 (UT). The NPI Number for TRACY WALKER (PT) is 1164446019

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
TRACY WALKER (PT)
NPI
1164446019
Phone
(435) 716-1000
Address
1400 N 500 E
Enumeration Date
26 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4355634848
Graduation Year
2004 (22 years ago)
PAC ID
6800243775
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20231114003569
Address ID
UT843180000HY4088X91XX400
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

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

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Provider Addresses for TRACY WALKER (PT)

  • North 500 East, Logan, Cache County, Utah, 84322, United States

    LOGAN, UT 843412455

    Phone: (435) 716-1000

    Mailing address matches the actual address.

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: 2023-11-14

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
I20231114003569IPhysical Therapist In Private PracticeUTTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8917$0
97161Evaluation for physical therapy, typically 20 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 84341)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is the registry number for TRACY WALKER (PT)?
The registry entry for TRACY WALKER (PT) shows NPI 1164446019.
Is TRACY WALKER (PT) currently accepting referrals based on NPI status?
Registry metadata lists TRACY WALKER (PT) as active.
Which specialty label fits TRACY WALKER (PT)?
NPPES ties TRACY WALKER (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TRACY WALKER (PT)?
The directory associates TRACY WALKER (PT) with Logan, Utah. Check all listed addresses for suites or satellite offices.
Who maintains TRACY WALKER (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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