DR. CHRISTOPHER LEE DICKERSON (DPT) – Orthopedic Physical Therapist, NPI 1003164831

DR. CHRISTOPHER LEE DICKERSON (DPT) is a healthcare provider. based in Everett, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for DR. CHRISTOPHER LEE DICKERSON (DPT) is 1003164831

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER LEE DICKERSON (DPT)
NPI
1003164831
Phone
(425) 357-9380
Address
1519 132ND ST SE
Enumeration Date
28 August 2012
Last Update Date
15 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607917917
Graduation Year
2012 (14 years ago)
PAC ID
0244482453
Group Practice PAC ID
5395275564
Professional Enrollment ID
I20221230000535
Address ID
TX78744XXXXAUXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:13State licenses:0Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DR. CHRISTOPHER LEE DICKERSON (DPT)

  • 1519 132ND ST SE

    SUITE A

    EVERETT, WA 982087203

    Phone: (425) 357-9380

    Fax: (425) 357-9382

    Type: Mailing

  • 5210 CORPORATE CENTER CT SE

    SUITE D

    LACEY, WA 985035952

    Phone: (360) 455-8155

    Fax: (360) 455-1655

    Type: Location

  • 4700 SETON CENTER PKWY STE 175

    AUSTIN, TX 787594107

    Phone: (512) 439-1000

    Type: Mailing

  • 911 W 38TH ST STE 300

    AUSTIN, TX 787051161

    Phone: (512) 439-1000

    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: 2022-12-30

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
I20221230000535IPhysical Therapist In Private PracticeTXTBD

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
97140Therapy procedure using manual technique, each 15 minutes1,14339$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,03339$0
97530Therapy procedure using functional activities25625$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17420$0
97161Evaluation for physical therapy, typically 20 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 98208)

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Provider's Procedures

DR. CHRISTOPHER LEE DICKERSON (DPT) 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 THERAPYWA97001Physical therapy evaluation2929
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes31639

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: 5395275564View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to DR. CHRISTOPHER LEE DICKERSON (DPT)?
The federal identifier for DR. CHRISTOPHER LEE DICKERSON (DPT) is NPI 1003164831.
Does this profile mean DR. CHRISTOPHER LEE DICKERSON (DPT) is currently active?
Yes — DR. CHRISTOPHER LEE DICKERSON (DPT) appears active in the national provider directory.
Does DR. CHRISTOPHER LEE DICKERSON (DPT) list a primary specialty?
If you are matching referrals, note Orthopedic Physical Therapist for DR. CHRISTOPHER LEE DICKERSON (DPT). Clinical services aligned with this taxonomy classification.
Where is DR. CHRISTOPHER LEE DICKERSON (DPT)'s primary listing?
We display Everett, Washington because that is what the record indicates for DR. CHRISTOPHER LEE DICKERSON (DPT).
What if Everett, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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