DALE HAAVIND-BERMAN (PT) – Physical Therapist, NPI 1114803863

DALE HAAVIND-BERMAN (PT) is a healthcare provider. based in Acton, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PTL81022 (MA). The NPI Number for DALE HAAVIND-BERMAN (PT) is 1114803863

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DALE HAAVIND-BERMAN (PT)
NPI
1114803863
Phone
(978) 263-0007
Address
411 MASS AVE STE 302
Enumeration Date
15 August 2025
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782630007
Graduation Year
2025 (1 year ago)
PAC ID
3173023124
Group Practice PAC ID
0042392052
Professional Enrollment ID
I20250825000013
Address ID
MA017203739AC411XXAVEX318
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

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for DALE HAAVIND-BERMAN (PT)

  • 411 MASS AVE STE 302

    ACTON, MA 017203739

    Phone: (978) 263-0007

    Fax: (978) 263-0014

    Type: Mailing

  • 29 HUDSON RD STE 3350

    SUDBURY, MA 017761747

    Phone: (978) 263-0007

    Fax: (978) 263-0014

    Type: Location

  • 411 Mass Ave Ste 302

    Acton, MA 017203739

    Phone: (978) 263-0007

    Fax: (978) 263-0014

    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: 2025-08-25

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
I20250825000013IPhysical 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 01720)

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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: 0042392052View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is the registry number for DALE HAAVIND-BERMAN (PT)?
The registry entry for DALE HAAVIND-BERMAN (PT) shows NPI 1114803863.
Should I treat DALE HAAVIND-BERMAN (PT) as an active provider?
Patients and plans typically see DALE HAAVIND-BERMAN (PT) as active in the national extract.
What services align with DALE HAAVIND-BERMAN (PT)'s listing?
DALE HAAVIND-BERMAN (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to DALE HAAVIND-BERMAN (PT)?
The directory associates DALE HAAVIND-BERMAN (PT) with Acton, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains DALE HAAVIND-BERMAN (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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