RYKER PENNER (PT, DPT) – Physical Therapist, NPI 1073392759

RYKER PENNER (PT, DPT) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT61407877 (WA). The NPI Number for RYKER PENNER (PT, DPT) is 1073392759

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
RYKER PENNER (PT, DPT)
NPI
1073392759
Phone
Not provided
Address
506 12TH AVE
Enumeration Date
22 September 2023
Last Update Date
22 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2064306262
Graduation Year
2023 (3 years ago)
PAC ID
7416303367
Group Practice PAC ID
7012808041
Professional Enrollment ID
I20231027003243
Address ID
WA981225509SE506XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for RYKER PENNER (PT, DPT)

  • 506 12TH AVE

    SEATTLE, WA 981225509

    Phone:

    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: 2023-10-27

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
I20231027003243IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98122)

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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: 7012808041View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeVA
-KY
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeWA

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Frequently asked questions

Is there an official ID for RYKER PENNER (PT, DPT) in U.S. healthcare records?
The official identifier for RYKER PENNER (PT, DPT) is NPI 1073392759.
Is RYKER PENNER (PT, DPT) shown as active in public data?
Registry records indicate RYKER PENNER (PT, DPT) maintains an active NPI.
What clinical focus is listed for RYKER PENNER (PT, DPT)?
At a glance, RYKER PENNER (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Washington is RYKER PENNER (PT, DPT) registered?
Use Seattle, Washington as the headline location for RYKER PENNER (PT, DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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