ELITE PHYSICAL THERAPY GROUP, LLC – Physical Therapy Clinic/Center, NPI 1821256298

ELITE PHYSICAL THERAPY GROUP, LLC is a healthcare provider. based in Tacoma, Washington. specializing in Physical Therapy Clinic/Center. The organization holds a License No. 602832882 (WA). The NPI Number for ELITE PHYSICAL THERAPY GROUP, LLC is 1821256298

Main info

Organization
Name
ELITE PHYSICAL THERAPY GROUP, LLC
NPI
1821256298
Phone
(253) 531-5645
Address
15617 PACIFIC AVE S
Authorized Official
TREVOR WILLIAM PETTINGILL PHYSICAL THERAPIST/CLINIC OWNER MPT
Enumeration Date
2 June 2008
Last Update Date
20 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for ELITE PHYSICAL THERAPY GROUP, LLC

  • Pacific Avenue South, J & C Plaza, Hillsdale, Tacoma, Pierce County, Washington, 98444-6058, United States

    TACOMA, WA 984444609

    Phone: (253) 531-5645

    Fax: (253) 536-3467

    Type: Mailing

  • 9909 224th St E Unit 100B

    Graham, WA 983387086

    Phone: (253) 780-4965

    Type: Location

  • 5701 N 26th St

    Tacoma, WA 984072408

    Phone: (253) 507-7450

    Type: Location

  • 19910 S Prairie Rd E

    Bonney Lake, WA 983917901

    Phone: (253) 750-5997

    Type: Location

  • 21707 103RD AVENUE CT E STE B202

    GRAHAM, WA 983388308

    Phone: (253) 271-7339

    Fax: (253) 655-5845

    Type: Mailing

  • 223 140TH ST S STE 700

    TACOMA, WA 984444549

    Phone: (253) 531-5645

    Fax: (253) 536-3467

    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: 2008-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (984 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
O20081008000132OClinic/Group PracticeWA2023-09-30

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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98444)

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Reviews

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Frequently asked questions

How do payers reference ELITE PHYSICAL THERAPY GROUP, LLC?
For ELITE PHYSICAL THERAPY GROUP, LLC, use NPI 1821256298 as the unique 10-digit identifier.
Is there an active status for ELITE PHYSICAL THERAPY GROUP, LLC?
For scheduling context, ELITE PHYSICAL THERAPY GROUP, LLC is shown as active in the registry.
What clinical focus is listed for ELITE PHYSICAL THERAPY GROUP, LLC?
At a glance, ELITE PHYSICAL THERAPY GROUP, LLC is tied to Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
Is ELITE PHYSICAL THERAPY GROUP, LLC located near Tacoma?
ELITE PHYSICAL THERAPY GROUP, LLC currently maps to Tacoma, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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