BAELIN WITT (PT) – Physical Therapist, NPI 1215880828

BAELIN WITT (PT) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT44343 (FL). The NPI Number for BAELIN WITT (PT) is 1215880828

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BAELIN WITT (PT)
NPI
1215880828
Phone
(904) 662-4145
Address
11727 ABESS BLVD APT 2111
Enumeration Date
16 February 2026
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048587045
Graduation Year
2025 (1 year ago)
PAC ID
8527541036
Group Practice PAC ID
5193625499
Professional Enrollment ID
I20260312003471
Address ID
FL322078549JA1325XBLVD402
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 BAELIN WITT (PT)

  • 11727 ABESS BLVD APT 2111

    JACKSONVILLE, FL 322256056

    Phone: (904) 662-4145

    Type: Mailing

  • 1325 SAN MARCO BLVD STE 102

    JACKSONVILLE, FL 322078549

    Phone: (904) 858-7045

    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: 2026-03-12

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
I20260312003471IPhysical 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 32225)

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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: 5193625499View full group profile
NameSpecialtyState
-FL
Physician AssistantGA
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
-FL
-FL
-FL
-FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for BAELIN WITT (PT)?
BAELIN WITT (PT) — NPI 1215880828 — is the standard way to identify this listing.
Does the file indicate BAELIN WITT (PT) is practicing under active NPI?
Directory data currently reports BAELIN WITT (PT) as active.
What is BAELIN WITT (PT) best known for clinically?
Directory data describes BAELIN WITT (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for BAELIN WITT (PT)?
BAELIN WITT (PT)'s geographic hint is Jacksonville, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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