CHARLES M DEPNER (PT) – Physical Therapist, NPI 1790916088

CHARLES M DEPNER (PT) is a healthcare provider. based in Spokane valley, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT00006099 (WA). The NPI Number for CHARLES M DEPNER (PT) is 1790916088

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES M DEPNER (PT)
NPI
1790916088
Phone
(509) 413-1630
Address
12012 E MISSION AVE
Enumeration Date
4 August 2009
Last Update Date
17 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094131630
Graduation Year
1993 (33 years ago)
PAC ID
9032255997
Group Practice PAC ID
7517857899
Professional Enrollment ID
I20091006000628
Address ID
WA992064887SP12012AVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for CHARLES M DEPNER (PT)

  • East Mission Avenue, Greenacres, Spokane Valley, Spokane County, Washington, 99037-9510, United States

    SPOKANE VALLEY, WA 992064887

    Phone: (509) 413-1630

    Type: Location

  • 1310, East 28th Avenue, Rockwood, Spokane, Spokane County, Washington, 99203, United States

    SPOKANE, WA 992033217

    Phone: (509) 624-9055

    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: 2009-10-06

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
I20091006000628IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33614$0
View full utilization report →

Insurance plans in this area (ZIP 99206)

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Provider's Procedures

CHARLES M DEPNER (PT) 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 THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7112
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes83929

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: 7517857899View full group profile
NameSpecialtyState
-MO
-WA
Occupational Therapist In Private PracticeWA
-WA
-WA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How is CHARLES M DEPNER (PT) identified in CMS data?
CMS-hosted NPPES data lists CHARLES M DEPNER (PT) with NPI 1790916088.
Does the file indicate CHARLES M DEPNER (PT) is practicing under active NPI?
Directory data currently reports CHARLES M DEPNER (PT) as active.
What is CHARLES M DEPNER (PT)'s primary classification?
Physical Therapist is the headline specialty for CHARLES M DEPNER (PT) here. Clinical services aligned with this taxonomy classification.
What area does CHARLES M DEPNER (PT) serve?
CHARLES M DEPNER (PT)'s listing highlights Spokane Valley, Washington; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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