RANDELLE K FULLER (MPT) – Physical Therapist, NPI 1023237120
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA
Provider Addresses for RANDELLE K FULLER (MPT)
6703 W RIO GRANDE AVE
KENNEWICK, WA 993362623
Phone: (509) 460-5588
Fax: (509) 783-5438
Type: Mailing
965 GOETHALS DR
RICHLAND, WA 993523527
Phone: (509) 460-5588
Fax: (509) 783-5438
Type: Location
8200 W GAGE BLVD
KENNEWICK, WA 993368113
Phone: (509) 586-2828
Fax: (509) 783-5438
Type: Mailing
6699 W Rio Grande Ave
Kennewick, WA 993363301
Phone: (509) 460-5588
Fax: (509) 783-5438
Type: Location
15 W 10TH AVE
KENNEWICK, WA 993366371
Phone: (509) 582-6335
Fax: (509) 582-6375
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: 2007-10-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071024000661 | I | Physical Therapist In Private Practice | WA | TBD |
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.
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 | 1,920 | 153 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 794 | 123 | $0 |
| 97016 | Application of blood vessel compression device | 371 | 71 | $0 |
| 97530 | Therapy procedure using functional activities | 281 | 55 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 113 | 103 | $0 |
Insurance plans in this area (ZIP 99336)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1955 | 131 |
| PHYSICAL THERAPY | WA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 749 | 106 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery | WA | |
| Pain Management | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | NC | |
| - | WA | |
| - | WA | |
| Orthopedic Surgery | HI | |
| - | WA |
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