CHANCELOR CHADWICK (DPT) – Physical Therapist, NPI 1285138396

CHANCELOR CHADWICK (DPT) is a healthcare provider. based in Tumwater, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT60330293 (WA). The NPI Number for CHANCELOR CHADWICK (DPT) is 1285138396

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CHANCELOR CHADWICK (DPT)
NPI
1285138396
Phone
(360) 493-4160
Address
4833 TUMWATER VALLEY DR SE STE 150
Enumeration Date
22 March 2018
Last Update Date
22 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606690564
Graduation Year
2012 (14 years ago)
PAC ID
6406385756
Group Practice PAC ID
0648429688
Professional Enrollment ID
I20250130004057
Address ID
WA985798964RO19548SWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for CHANCELOR CHADWICK (DPT)

  • Tumwater Valley Drive Southeast, Tumwater, Thurston County, Washington, 98501-5801, United States

    TUMWATER, WA 985014583

    Phone: (360) 493-4160

    Type: Location

  • 3087, Northwest 123rd Place, Portland, Metro, Washington County, Oregon, 97229, United States

    PORTLAND, OR 972083087

    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: 2025-01-30

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
I20250130004057IPhysical 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 98501)

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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: 0648429688View 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

Can I verify CHANCELOR CHADWICK (DPT) with an NPI only?
You can start verification with NPI 1285138396 for CHANCELOR CHADWICK (DPT), then check state licensing separately.
Does CMS list CHANCELOR CHADWICK (DPT) as active?
Yes — CHANCELOR CHADWICK (DPT) is active in the NPI listing used on this page.
What is CHANCELOR CHADWICK (DPT) best known for clinically?
Directory data describes CHANCELOR CHADWICK (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does CHANCELOR CHADWICK (DPT) list a practice location?
Patients near Tumwater, Washington may find CHANCELOR CHADWICK (DPT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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