DUKE WADE HARTWELL (PT) – Physical Therapist, NPI 1124066485

DUKE WADE HARTWELL (PT) is a healthcare provider. based in Columbus, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 05008884A (IN). The NPI Number for DUKE WADE HARTWELL (PT) is 1124066485

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DUKE WADE HARTWELL (PT)
NPI
1124066485
Phone
(812) 669-1687
Address
1639 N National Rd
Enumeration Date
2 June 2006
Last Update Date
18 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123423098
Graduation Year
2005 (21 years ago)
PAC ID
0547267841
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20061030000445
Address ID
IN472012569CO4895XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for DUKE WADE HARTWELL (PT)

  • 1639 N National Rd

    Columbus, IN 472015579

    Phone: (812) 669-1687

    Fax: (815) 775-1035

    Type: Location

  • 806, Jackson Street, Columbus, Bartholomew County, Indiana, 47201, United States

    COLUMBUS, IN 472016264

    Phone: (812) 748-3412

    Fax: (812) 377-6024

    Type: Mailing

  • Jonathan Moore Pike, Columbus, Bartholomew County, Indiana, 47201, United States

    COLUMBUS, IN 472014685

    Phone: (812) 342-4211

    Fax: (812) 342-2413

    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: 2006-10-30

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
I20061030000445IPhysical Therapist In Private PracticeINTBD

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 47201)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

How do payers reference DUKE WADE HARTWELL (PT)?
For DUKE WADE HARTWELL (PT), use NPI 1124066485 as the unique 10-digit identifier.
Is there an active status for DUKE WADE HARTWELL (PT)?
For scheduling context, DUKE WADE HARTWELL (PT) is shown as active in the registry.
What expertise is attributed to DUKE WADE HARTWELL (PT)?
DUKE WADE HARTWELL (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DUKE WADE HARTWELL (PT) located near Columbus?
DUKE WADE HARTWELL (PT) currently maps to Columbus, Indiana in this extract.
Can I trust this NPI listing for DUKE WADE HARTWELL (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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