MR. MICHAEL D TEATER (PT, DPT, OCS) – Physical Therapist, NPI 1508944554

MR. MICHAEL D TEATER (PT, DPT, OCS) is a healthcare provider. based in Camas, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, OCS. They hold a License No. PT10121 (WA). The NPI Number for MR. MICHAEL D TEATER (PT, DPT, OCS) is 1508944554

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL D TEATER (PT, DPT, OCS)
NPI
1508944554
Phone
(360) 210-5440
Address
1905 SE 192ND AVE STE 205
Enumeration Date
1 November 2006
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032101425
Graduation Year
2006 (20 years ago)
PAC ID
7911099544
Group Practice PAC ID
6103071014
Professional Enrollment ID
I20231215002533
Address ID
OR972321861PO1505XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MR. MICHAEL D TEATER (PT, DPT, OCS)

  • 1905 SE 192ND AVE STE 205

    CAMAS, WA 986077415

    Phone: (360) 210-5440

    Fax: (360) 210-7731

    Type: Location

  • 1905 SE 192ND AVE STE 109

    CAMAS, WA 986077415

    Phone: (360) 210-5440

    Fax: (360) 210-7731

    Type: Location

  • 1905, Southeast 192nd Avenue, Camas, Clark County, Washington, 98607, United States

    SUITE 205

    CAMAS, WA 986077415

    Phone: (360) 210-5440

    Fax: (360) 210-7731

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070827000657IPhysical Therapist In Private PracticeWATBD
I20231215002533IPhysical Therapist In Private PracticeORTBD

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 activities9233$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4325$0
97140Therapy procedure using manual technique, each 15 minutes3219$0
View full utilization report →

Insurance plans in this area (ZIP 98607)

Loading plans...

Provider's Procedures

MR. MICHAEL D TEATER (PT, DPT, OCS) 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 THERAPYWA97001Physical therapy evaluation4038
PHYSICAL THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes110045
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes99643

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: 6103071014View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference MR. MICHAEL D TEATER (PT, DPT, OCS)?
For MR. MICHAEL D TEATER (PT, DPT, OCS), use NPI 1508944554 as the unique 10-digit identifier.
Would MR. MICHAEL D TEATER (PT, DPT, OCS) appear as active to a payer?
You can treat MR. MICHAEL D TEATER (PT, DPT, OCS) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. MICHAEL D TEATER (PT, DPT, OCS)?
At a glance, MR. MICHAEL D TEATER (PT, DPT, OCS) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. MICHAEL D TEATER (PT, DPT, OCS) located near Camas?
MR. MICHAEL D TEATER (PT, DPT, OCS) currently maps to Camas, Washington in this extract.
Can I trust this NPI listing for MR. MICHAEL D TEATER (PT, DPT, OCS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

MR. BRITTON DEREK MOSS (PT)

Physical Therapist
1905 SE 192ND AVE STE 109
NPI: 1437146875
900 NE 139TH ST STE 102
NPI: 1891778288
The Vancouver Clinic | Salmon Creek 2, 2529, Northeast 139th Street, Mount Vista, Fairgrounds, Vancouver, Clark County, Washington, 98686, United States
NPI: 1972586360
PO BOX 592
NPI: 1326026758
293 S RIDGEVIEW DR
NPI: 1366406910
1 UNIVERSITY BLVD
NPI: 1225063498
1005, Northwest 20th Avenue, Camas, Clark County, Washington, 98607, United States
NPI: 1225044779
16083, Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97224, United States of America
NPI: 1518058031

SHELLEY KATRINA JONES (MPT)

Physical Therapist
Northeast Fourth Plain Road & Northeast 140th Avenue Eastbound, Northeast Fourth Plain Boulevard, Burnt Bridge Creek, Vancouver, Clark County, Washington, 98682, United States
NPI: 1538236914