DR. RYAN DWAIN HEDGE (DPT) – Physical Therapist, NPI 1487532800

DR. RYAN DWAIN HEDGE (DPT) is a healthcare provider. based in Lacey, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT70010624 (WA). The NPI Number for DR. RYAN DWAIN HEDGE (DPT) is 1487532800

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. RYAN DWAIN HEDGE (DPT)
NPI
1487532800
Phone
(360) 456-1444
Address
1445 GALAXY DR NE STE 301
Enumeration Date
25 August 2025
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604561444
Graduation Year
2025 (1 year ago)
PAC ID
0941797401
Group Practice PAC ID
1052403896
Professional Enrollment ID
I20251016004794
Address ID
WA985164754LA1445XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DR. RYAN DWAIN HEDGE (DPT)

  • 1445 GALAXY DR NE STE 301

    LACEY, WA 985164754

    Phone: (360) 456-1444

    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: 2025-10-16

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
I20251016004794IPhysical 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 98516)

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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: 1052403896View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-AZ
Physical Therapist In Private PracticeOR
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Medicine And RehabilitationWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How is DR. RYAN DWAIN HEDGE (DPT) identified in CMS data?
CMS-hosted NPPES data lists DR. RYAN DWAIN HEDGE (DPT) with NPI 1487532800.
Does CMS list DR. RYAN DWAIN HEDGE (DPT) as active?
Yes — DR. RYAN DWAIN HEDGE (DPT) is active in the NPI listing used on this page.
What is DR. RYAN DWAIN HEDGE (DPT)'s primary classification?
Physical Therapist is the headline specialty for DR. RYAN DWAIN HEDGE (DPT) here. Clinical services aligned with this taxonomy classification.
Where is DR. RYAN DWAIN HEDGE (DPT) based?
DR. RYAN DWAIN HEDGE (DPT) is tied to Lacey, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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