SIVAN N MUDALIAR (DPT) – Physical Therapist, NPI 1750378741

SIVAN N MUDALIAR (DPT) is a healthcare provider. based in Puyallup, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT00009944 (WA). The NPI Number for SIVAN N MUDALIAR (DPT) is 1750378741

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
SIVAN N MUDALIAR (DPT)
NPI
1750378741
Phone
(253) 840-2313
Address
PO BOX 731269
Enumeration Date
4 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534466982
Graduation Year
2005 (21 years ago)
PAC ID
7416973888
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20051015000114
Address ID
WA983389190GR10141EXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for SIVAN N MUDALIAR (DPT)

  • Jack in the Box, 3750, South Meridian, South Hill Village, Puyallup, Pierce County, Washington, 98373, United States

    PUYALLUP, WA 983730060

    Phone: (253) 840-2313

    Fax: (253) 840-6340

    Type: Mailing

  • 103rd Avenue Court East, Maplewood, Graham, Pierce County, Washington, 09339, United States

    SUITE 202

    GRAHAM, WA 983388115

    Phone: (253) 847-3700

    Fax: (253) 847-9622

    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: 2005-10-15

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
I20051015000114IPhysical 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 activities44957$0
97140Therapy procedure using manual technique, each 15 minutes21045$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19845$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15548$0
97162Evaluation for physical therapy, typically 30 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 98373)

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Provider's Procedures

SIVAN N MUDALIAR (DPT) 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 evaluation5147
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes59770

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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

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Frequently asked questions

How do I look up SIVAN N MUDALIAR (DPT) by NPI?
Use NPI 1750378741 when you need to reference SIVAN N MUDALIAR (DPT) in forms, claims, or directories.
Is SIVAN N MUDALIAR (DPT) currently active in the NPI registry?
CMS-published data lists SIVAN N MUDALIAR (DPT) as an active registrant.
Can you summarize SIVAN N MUDALIAR (DPT)'s specialty in plain language?
Clinically, the directory lists SIVAN N MUDALIAR (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for SIVAN N MUDALIAR (DPT)?
We surface Puyallup, Washington for SIVAN N MUDALIAR (DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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