THERAPYDIA OF WASHINGTON PC – Physical Therapist, NPI 1902643992
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for THERAPYDIA OF WASHINGTON PC
1125 SE 163rd Pl Ste 102
Vancouver, WA 986834468
Phone: (360) 768-4340
Type: Location
9909 224th St E Unit 100B
Graham, WA 983387086
Phone: (253) 780-4965
Fax: (253) 780-4881
Type: Location
19910 S Prairie Rd E
Bonney Lake, WA 983917901
Phone: (253) 750-5997
Fax: (253) 750-0463
Type: Location
4114 Bridgeport Way W
University Place, WA 984664315
Phone: (253) 210-4478
Fax: (253) 210-4477
Type: Location
5701 N 26TH ST
Tacoma, WA 984072408
Phone: (253) 507-7450
Fax: (253) 507-7572
Type: Location
223 140th St S
Tacoma, WA 984444531
Phone: (253) 531-5645
Fax: (253) 536-3467
Type: Location
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 495462395
Phone: (616) 356-5000
Fax: (616) 356-5001
Type: Mailing
7604 NE 5TH AVE STE 109
VANCOUVER, WA 986658200
Phone: (616) 483-3480
Fax: (360) 597-7848
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: 2024-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20241107000292 | O | Physical/Occupational Therapy Group In Private Practice | WA | TBD |
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.
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 98683)
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