DR. WALTER WITRYOL (M.D.) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1861464505
Neuromusculoskeletal Medicine & OMM Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
150 PHYSICAL MEDICINE AND REHABILITATION in CT
Provider Addresses for DR. WALTER WITRYOL (M.D.)
29 HAYNES ST STE D
MANCHESTER, CT 060404139
Phone: (860) 646-1222
Type: Location
1464 JEFFERSON ST N
LEWISBURG, WV 249011380
Phone: (304) 645-3220
Fax: (844) 479-4545
Type: Location
3500 Camp Bowie Blvd
UNTHSC - Dept. of Quality Management
Fort Worth, TX 761072644
Phone: (817) 735-0170
Fax: (817) 735-0111
Type: Location
29 Haynes St Ste D
Manchester, CT 060404139
Phone: (860) 646-1222
Type: Location
720, North Point Road, Colgate, Eastpoint, Baltimore County, Maryland, 21224, United States
MANCHESTER, CT 060450720
Phone: (860) 646-1222
Fax: (860) 533-2975
Type: Mailing
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: 2023-04-24
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 |
|---|---|---|---|---|
| I20230424000179 | I | Physical Medicine And Rehabilitation | WV | 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 06040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WV | |
| Osteopathic Manipulative Medicine | NJ | |
| Family Practice | WV | |
| Osteopathic Manipulative Medicine | WV | |
| Nurse Practitioner | WV | |
| Osteopathic Manipulative Medicine | WV | |
| Internal Medicine, Geriatric Medicine | VA | |
| Family Practice | WV | |
| Internal Medicine, Osteopathic Manipulative Medicine | WV | |
| Family Practice | WV |
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