MR. JOHN W PAYNE (PT) – Physical Therapist, NPI 1760560700
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA
Provider Addresses for MR. JOHN W PAYNE (PT)
16520 92nd St E
Sumner, WA 983908155
Phone: (435) 999-0912
Type: Location
1392 W 6500 S
HYRUM, UT 843197105
Phone: (801) 863-0654
Type: Mailing
16520 92ND ST E
SUMNER, WA 983908155
Phone: (435) 999-0912
Type: Location
169 N GATEWAY DR STE 210
PROVIDENCE, UT 843329805
Phone: (435) 701-7010
Fax: (435) 701-7012
Type: Location
102, M Street Northeast, Downtown, Auburn, King County, Washington, 98002, United States
AUBURN, WA 980024592
Phone: (253) 833-8766
Type: Mailing
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: 2023-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040108001123 | I | Physical Therapist In Private Practice | WA | TBD |
| I20231116003733 | I | Physical Therapist In Private Practice | UT | TBD |
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.
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 98390)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 880 | 147 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA |
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