LUKE WILLIAM REARDON – Physical Therapist, NPI 1811565740

LUKE WILLIAM REARDON is a healthcare provider. based in College place, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT61177063 (WA). The NPI Number for LUKE WILLIAM REARDON is 1811565740

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
LUKE WILLIAM REARDON
NPI
1811565740
Phone
(509) 876-8900
Address
56 N COLLEGE AVE UNIT 1
Enumeration Date
16 June 2021
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5095404889
Graduation Year
2021 (5 years ago)
PAC ID
4688076326
Professional Enrollment ID
I20210716002288
Address ID
WA993622757WA1220XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for LUKE WILLIAM REARDON

  • 56 N COLLEGE AVE UNIT 1

    COLLEGE PLACE, WA 993241048

    Phone: (509) 876-8900

    Fax: (509) 593-4006

    Type: Location

  • 1220 W POPLAR ST STE A

    WALLA WALLA, WA 993622757

    Phone: (509) 540-3286

    Fax: (509) 285-0982

    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: 2021-07-16

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
I20210716002288IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes1,61969$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,11968$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16117$0
97162Evaluation for physical therapy, typically 30 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 99324)

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Reviews

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Frequently asked questions

Is there an official ID for LUKE WILLIAM REARDON in U.S. healthcare records?
The official identifier for LUKE WILLIAM REARDON is NPI 1811565740.
Is LUKE WILLIAM REARDON still an active registrant?
LUKE WILLIAM REARDON carries an active NPI according to the public dataset.
What expertise is attributed to LUKE WILLIAM REARDON?
LUKE WILLIAM REARDON's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is LUKE WILLIAM REARDON associated with College Place?
Public fields place LUKE WILLIAM REARDON around College Place, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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