ELISHA BARTAK (DPT) – Physical Therapist, NPI 1013756089

ELISHA BARTAK (DPT) is a healthcare provider. based in Braintree, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTL27563 (MA). The NPI Number for ELISHA BARTAK (DPT) is 1013756089

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELISHA BARTAK (DPT)
NPI
1013756089
Phone
Not provided
Address
703 GRANITE ST STE 3
Enumeration Date
21 May 2024
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4132254997
Graduation Year
2024 (2 years ago)
PAC ID
6608218037
Group Practice PAC ID
9931624392
Professional Enrollment ID
I20240530001332
Address ID
MA013012546GR55XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for ELISHA BARTAK (DPT)

  • 703 GRANITE ST STE 3

    BRAINTREE, MA 021845350

    Phone:

    Type: Mailing

  • 306A HIGH ST

    GREENFIELD, MA 013012611

    Phone: (413) 773-3379

    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: 2024-05-30

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
I20240530001332IPhysical Therapist In Private PracticeMATBD

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 02184)

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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: 9931624392View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Can I use this page to confirm ELISHA BARTAK (DPT)'s NPI?
Yes. ELISHA BARTAK (DPT) is listed with NPI 1013756089 in the public NPI dataset.
Can I rely on ELISHA BARTAK (DPT) being an active provider?
As of the registry snapshot, ELISHA BARTAK (DPT) is marked active.
What is ELISHA BARTAK (DPT)'s primary classification?
Physical Therapist is the headline specialty for ELISHA BARTAK (DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for ELISHA BARTAK (DPT)?
ELISHA BARTAK (DPT)'s geographic hint is Braintree, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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