WHEELCHAIR CLINIC INC – Physical Therapist, NPI 1265904064
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WHEELCHAIR CLINIC INC
2021 E VILLAGE GREEN CIR STE C
DRAPER, UT 840205500
Phone: (801) 440-5592
Type: Mailing
2021 E Village Green Cir Ste C
Draper, UT 840205500
Phone: (833) 233-7875
Fax: (801) 206-3059
Type: Location
Paseo Verde Parkway, Henderson, Clark County, Nevada, 89074, United States
HENDERSON, NV 890125725
Phone: (801) 440-5592
Type: Mailing
4557 S WESTERN ST STE B4
AMARILLO, TX 791098044
Phone: (833) 233-7875
Fax: (801) 206-3059
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: 2023-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (113 days away).
Enrollment records
12
Earliest due date
2026-09-30
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 |
|---|---|---|---|---|
| O20201229000473 | O | Clinic/Group Practice | UT | 2026-09-30 |
| O20210609001268 | O | Physical/Occupational Therapy Group In Private Practice | TX | 2026-10-31 |
| O20221228002807 | O | Clinic/Group Practice | OK | TBD |
| O20230302003108 | O | Clinic/Group Practice | CO | TBD |
| O20230303001496 | O | Clinic/Group Practice | CA | TBD |
| O20230313000323 | O | Clinic/Group Practice | NC | TBD |
| O20230509003168 | O | Physical/Occupational Therapy Group In Private Practice | GA | TBD |
| O20230517002876 | O | Clinic/Group Practice | AZ | TBD |
| O20230614000668 | O | Clinic/Group Practice | SC | TBD |
| O20230707002519 | O | Clinic/Group Practice | VA | TBD |
| O20230807001489 | O | Clinic/Group Practice | NV | TBD |
| O20230919001654 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 84020)
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