ALEX W TEADE (DPT) – Physical Therapist, NPI 1174175145

ALEX W TEADE (DPT) is a healthcare provider. based in Spokane, Washington. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT60932497 (WA). The NPI Number for ALEX W TEADE (DPT) is 1174175145

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ALEX W TEADE (DPT)
NPI
1174175145
Phone
(509) 458-7686
Address
730 N HAMILTON ST
Enumeration Date
10 July 2019
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094741220
Graduation Year
2019 (7 years ago)
PAC ID
3072945831
Group Practice PAC ID
1153312343
Professional Enrollment ID
I20191115001439
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for ALEX W TEADE (DPT)

  • 730, North Hamilton Street, Spokane, Spokane County, Washington, 99202, United States

    SPOKANE, WA 992022045

    Phone: (509) 458-7686

    Fax: (509) 808-2164

    Type: Mailing

  • 1917 N LAKEWOOD DR

    COEUR D ALENE, ID 838142634

    Phone: (208) 277-0795

    Fax: (208) 277-0775

    Type: Mailing

  • North Jefferson Lane, Spokane, Spokane County, Washington, 99201, United States

    SPOKANE, WA 992017104

    Phone: (509) 474-1220

    Fax: (509) 808-2164

    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: 2021-01-14

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
I20210114002025IPhysical Therapist In Private PracticeIDTBD

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
97530Therapy procedure using functional activities1,08062$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,00152$0
97140Therapy procedure using manual technique, each 15 minutes81461$0
97113Therapy procedure using water pool to exercises, each 15 minutes28321$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12311$0
View full utilization report →

Insurance plans in this area (ZIP 99202)

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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: 1153312343View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How do payers reference ALEX W TEADE (DPT)?
For ALEX W TEADE (DPT), use NPI 1174175145 as the unique 10-digit identifier.
Is ALEX W TEADE (DPT) still an active registrant?
ALEX W TEADE (DPT) carries an active NPI according to the public dataset.
What expertise is attributed to ALEX W TEADE (DPT)?
ALEX W TEADE (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ALEX W TEADE (DPT) associated with Spokane?
Public fields place ALEX W TEADE (DPT) around Spokane, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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