PhysioCare Physical Therapy – Physical Therapist, NPI 1144735721
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PhysioCare Physical Therapy
15315 1st Ave NE # 5
Duvall, WA 980195004
Phone: (425) 788-0505
Fax: (425) 788-3340
Type: Location
Maple Valley Black Diamond Road Southeast, Henrys, Maple Valley, King County, Washington, 98010, United States
MAPLE VALLEY, WA 980389917
Phone: (844) 567-1254
Fax: (425) 413-4402
Type: Mailing
17618, 140th Avenue Northeast, Woodinville, King County, Washington, 98072, United States
WOODINVILLE, WA 980726800
Phone: (425) 402-9772
Fax: (425) 402-9443
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: 2018-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (618 days ago).
Enrollment records
1
Earliest due date
2024-09-30
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 |
|---|---|---|---|---|
| O20180502002440 | O | Physical/Occupational Therapy Group In Private Practice | WA | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 98019)
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