MUDZIMU MACHARAGA – Physical Therapist, NPI 1104703164

MUDZIMU MACHARAGA is a healthcare provider. based in Gainesville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT43515 (FL). The NPI Number for MUDZIMU MACHARAGA is 1104703164

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MUDZIMU MACHARAGA
NPI
1104703164
Phone
(352) 871-7365
Address
4343 NEWBERRY RD STE 4
Enumeration Date
20 August 2025
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523736565
Graduation Year
2024 (2 years ago)
PAC ID
1951899020
Group Practice PAC ID
2365438181
Professional Enrollment ID
I20251021002927
Address ID
FL326072822GA4343XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MUDZIMU MACHARAGA

  • 4343 NEWBERRY RD STE 4

    GAINESVILLE, FL 326072822

    Phone: (352) 871-7365

    Type: Location

  • 5871 NW 160TH ST

    TRENTON, FL 326937838

    Phone: (352) 871-7365

    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: 2025-10-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251021002927IPhysical Therapist In Private PracticeFLTBD

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.

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 32607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365438181View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeAL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Where can patients find MUDZIMU MACHARAGA's NPI?
You can confirm MUDZIMU MACHARAGA with NPI 1104703164; it appears in the national provider directory.
Is MUDZIMU MACHARAGA's NPI currently valid?
The extract we use shows MUDZIMU MACHARAGA as active.
What does MUDZIMU MACHARAGA treat or focus on?
Patients typically see MUDZIMU MACHARAGA under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place MUDZIMU MACHARAGA?
The snapshot lists Gainesville, Florida for MUDZIMU MACHARAGA; download NPPES for the complete set.
Is MUDZIMU MACHARAGA a real provider?
This page reflects official NPPES data for NPI 1104703164. Always confirm identity and privileges with the practice and licensing boards.

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