MR. GREG A WATERS (PT) – Physical Therapist, NPI 1114001625

MR. GREG A WATERS (PT) is a healthcare provider. based in Selah, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT00010130 (WA). The NPI Number for MR. GREG A WATERS (PT) is 1114001625

Main info

Male
Sole Proprietor
36 Years Of Experience
Name
MR. GREG A WATERS (PT)
NPI
1114001625
Phone
(509) 697-5330
Address
304 S 1ST ST
Enumeration Date
24 October 2006
Last Update Date
28 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5095734816
Graduation Year
1990 (36 years ago)
PAC ID
0143207696
Group Practice PAC ID
2961551213
Professional Enrollment ID
I20090527000154
Address ID
WA989022406YA2006XAVEX401
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

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MR. GREG A WATERS (PT)

  • 304, South 1st Street, Selah, Yakima County, Washington, 98942, United States

    SUITE A

    SELAH, WA 989422005

    Phone: (509) 697-5330

    Fax: (509) 697-5355

    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: 2009-05-27

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
I20090527000154IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,399162$0
97530Therapy procedure using functional activities790133$0
97140Therapy procedure using manual technique, each 15 minutes472121$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14768$0
98977Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days8335$0
View full utilization report →

Insurance plans in this area (ZIP 98942)

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Provider's Procedures

MR. GREG A WATERS (PT) 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 THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes70146
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes14716

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: 2961551213View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-OR

Reviews

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Frequently asked questions

What unique ID ties claims to MR. GREG A WATERS (PT)?
NPI 1114001625 is assigned to MR. GREG A WATERS (PT) under the national enumeration system.
Does this profile mean MR. GREG A WATERS (PT) is currently active?
Yes — MR. GREG A WATERS (PT) appears active in the national provider directory.
What field does MR. GREG A WATERS (PT) work in?
You can think of MR. GREG A WATERS (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MR. GREG A WATERS (PT)'s primary listing?
We display Selah, Washington because that is what the record indicates for MR. GREG A WATERS (PT).
What if Selah, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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