DIANNA CHURCH (DPT) – Physical Therapist, NPI 1407639800

DIANNA CHURCH (DPT) is a healthcare provider. based in Kirkland, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61399840 (WA). The NPI Number for DIANNA CHURCH (DPT) is 1407639800

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DIANNA CHURCH (DPT)
NPI
1407639800
Phone
(425) 629-3502
Address
209 KIRKLAND AVE
Enumeration Date
17 August 2023
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608877147
Graduation Year
2023 (3 years ago)
PAC ID
5193188381
Group Practice PAC ID
2062789860
Professional Enrollment ID
I20230906001951
Address ID
WA986423371RI5284XSTXX301
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 DIANNA CHURCH (DPT)

  • 209 KIRKLAND AVE

    KIRKLAND, WA 980336503

    Phone: (425) 629-3502

    Fax: (425) 629-3517

    Type: Mailing

  • 1309 HARBOR AVE SW STE A

    SEATTLE, WA 981161784

    Phone: (206) 906-9207

    Fax: (206) 906-9369

    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: 2023-09-06

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
I20230906001951IPhysical 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 minutes10519$0
97530Therapy procedure using functional activities10120$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3212$0
View full utilization report →

Insurance plans in this area (ZIP 98033)

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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: 2062789860View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Can I verify DIANNA CHURCH (DPT) with an NPI only?
You can start verification with NPI 1407639800 for DIANNA CHURCH (DPT), then check state licensing separately.
Can I rely on DIANNA CHURCH (DPT) being an active provider?
As of the registry snapshot, DIANNA CHURCH (DPT) is marked active.
What is DIANNA CHURCH (DPT) best known for clinically?
Directory data describes DIANNA CHURCH (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for DIANNA CHURCH (DPT)?
DIANNA CHURCH (DPT)'s geographic hint is Kirkland, Washington in our summary view.
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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