CRAIG M TEDDER (DPT) – Physical Therapist, NPI 1588601850

CRAIG M TEDDER (DPT) is a healthcare provider. based in Chehalis, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT00009225 (WA). The NPI Number for CRAIG M TEDDER (DPT) is 1588601850

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG M TEDDER (DPT)
NPI
1588601850
Phone
(360) 996-4410
Address
1817 S Market Blvd Ste C
Enumeration Date
2 June 2006
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607365273
Graduation Year
1994 (32 years ago)
PAC ID
1355381476
Group Practice PAC ID
0648429688
Professional Enrollment ID
I20050509000634
Address ID
WA985311870CE1118XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for CRAIG M TEDDER (DPT)

  • 1817 S Market Blvd Ste C

    Chehalis, WA 985324100

    Phone: (360) 996-4410

    Fax: (360) 996-4466

    Type: Location

  • 1118 VIEW AVE

    CENTRALIA, WA 985311870

    Phone: (360) 736-5273

    Fax: (360) 736-5053

    Type: Location

  • 1018, Capitol Way South, Olympia, Thurston County, Washington, 98501, United States

    STE 300

    OLYMPIA, WA 985011212

    Phone: (360) 413-4200

    Type: Mailing

  • 2555, Marvin Road Northeast, Lacey, Thurston County, Washington, 98516, United States

    LACEY, WA 985163138

    Phone: (360) 413-4220

    Fax: (360) 413-4225

    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: 2005-05-09

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
I20050509000634IPhysical 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
97530Therapy procedure using functional activities1,266103$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes90599$0
97016Application of blood vessel compression device16837$0
97140Therapy procedure using manual technique, each 15 minutes16336$0
97162Evaluation for physical therapy, typically 30 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 98532)

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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

What unique ID ties claims to CRAIG M TEDDER (DPT)?
NPI 1588601850 is assigned to CRAIG M TEDDER (DPT) under the national enumeration system.
Is CRAIG M TEDDER (DPT)'s NPI currently valid?
The extract we use shows CRAIG M TEDDER (DPT) as active.
Does CRAIG M TEDDER (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for CRAIG M TEDDER (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for CRAIG M TEDDER (DPT)?
The page summarizes Chehalis, Washington for CRAIG M TEDDER (DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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