MADISON BERGANTIM – Physical Therapist, NPI 1114620523

MADISON BERGANTIM is a healthcare provider. based in South easton, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 26670 (MA). The NPI Number for MADISON BERGANTIM is 1114620523

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MADISON BERGANTIM
NPI
1114620523
Phone
Not provided
Address
566 WASHINGTON ST
Enumeration Date
24 March 2023
Last Update Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085595108
Graduation Year
2022 (4 years ago)
PAC ID
3173989506
Group Practice PAC ID
9830322585
Professional Enrollment ID
I20230510000225
Address ID
MA023751946SO566XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for MADISON BERGANTIM

  • 566 WASHINGTON ST

    SOUTH EASTON, MA 023751946

    Phone:

    Mailing address matches the actual address.

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: 2023-05-10

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
I20230510000225IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities27831$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20026$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18328$0
97535Training for self-care or home management, each 15 minutes11415$0
97140Therapy procedure using manual technique, each 15 minutes5913$0
View full utilization report →

Insurance plans in this area (ZIP 02375)

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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: 9830322585View full group profile
NameSpecialtyState
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is MADISON BERGANTIM's NPI number?
MADISON BERGANTIM's NPI is 1114620523 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MADISON BERGANTIM?
For scheduling context, MADISON BERGANTIM is shown as active in the registry.
What kind of doctor is MADISON BERGANTIM?
MADISON BERGANTIM is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MADISON BERGANTIM?
Travel planning: use South Easton, Massachusetts as the reference point for MADISON BERGANTIM, then confirm.
Can I trust this NPI listing for MADISON BERGANTIM?
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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