DYSTON R MADSEN (DPT) – Physical Therapist, NPI 1275086811

DYSTON R MADSEN (DPT) is a healthcare provider. based in Medical lake, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT60664044 (WA). The NPI Number for DYSTON R MADSEN (DPT) is 1275086811

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DYSTON R MADSEN (DPT)
NPI
1275086811
Phone
(509) 838-2531
Address
725 N STANLEY ST STE D
Enumeration Date
1 August 2016
Last Update Date
1 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
4385923499
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20161114000546
Address ID
WA983351706GI4700XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DYSTON R MADSEN (DPT)

  • 725 N STANLEY ST STE D

    MEDICAL LAKE, WA 990228939

    Phone: (509) 838-2531

    Fax: (509) 755-6580

    Type: Location

  • PO BOX 3649

    SPOKANE, WA 992203649

    Phone:

    Type: Mailing

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: 2016-11-14

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
I20161114000546IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33853$0
97140Therapy procedure using manual technique, each 15 minutes25543$0
97530Therapy procedure using functional activities5551$0
97161Evaluation for physical therapy, typically 20 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 99022)

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Provider's Procedures

DYSTON R MADSEN (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 THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20020

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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

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Frequently asked questions

What is DYSTON R MADSEN (DPT)'s NPI number?
DYSTON R MADSEN (DPT)'s NPI is 1275086811 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DYSTON R MADSEN (DPT)?
You should see DYSTON R MADSEN (DPT) as active in CMS-hosted NPPES data.
What clinical focus is listed for DYSTON R MADSEN (DPT)?
At a glance, DYSTON R MADSEN (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Washington is DYSTON R MADSEN (DPT) registered?
Use Medical Lake, Washington as the headline location for DYSTON R MADSEN (DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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