AMANDA MADDOX – Physical Therapist, NPI 1255078812

AMANDA MADDOX is a healthcare provider. based in Northborough, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 26109 (MA). The NPI Number for AMANDA MADDOX is 1255078812

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MADDOX
NPI
1255078812
Phone
(508) 393-9000
Address
411 W MAIN ST STE 3
Enumeration Date
16 May 2022
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083939000
Graduation Year
2021 (5 years ago)
PAC ID
6507245099
Group Practice PAC ID
6305141839
Professional Enrollment ID
I20220613002331
Address ID
MA015322163NO411XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for AMANDA MADDOX

  • 411 W MAIN ST STE 3

    NORTHBOROUGH, MA 015322163

    Phone: (508) 393-9000

    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: 2022-06-13

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
I20220613002331IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes88953$0
97140Therapy procedure using manual technique, each 15 minutes85051$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes25029$0
97530Therapy procedure using functional activities10413$0
97164Re-evaluation for physical therapy, typically 20 minutes6435$0
View full utilization report →

Insurance plans in this area (ZIP 01532)

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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: 6305141839View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What federal number belongs to AMANDA MADDOX?
The federal identifier for AMANDA MADDOX is NPI 1255078812.
Is AMANDA MADDOX's NPI currently valid?
The extract we use shows AMANDA MADDOX as active.
What kind of provider is AMANDA MADDOX?
The page reflects Physical Therapist for AMANDA MADDOX. Clinical services aligned with this taxonomy classification.
Does AMANDA MADDOX practice in Massachusetts?
You will see Northborough, Massachusetts on file for AMANDA MADDOX alongside any extra practice locations.
How can I contact AMANDA MADDOX?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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