REBECCA MARIE PUDVAH (PT, CSCS, EMTB) – Physical Therapist, NPI 1871990051

REBECCA MARIE PUDVAH (PT, CSCS, EMTB) is a healthcare provider. based in Peabody, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, CSCS, EMTB. They hold a License No. 11161 (AZ). The NPI Number for REBECCA MARIE PUDVAH (PT, CSCS, EMTB) is 1871990051

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA MARIE PUDVAH (PT, CSCS, EMTB)
NPI
1871990051
Phone
(978) 578-1542
Address
15 HILLSIDE AVE
Enumeration Date
3 December 2014
Last Update Date
13 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2014 (12 years ago)
PAC ID
5193124725
Group Practice PAC ID
1456744762
Professional Enrollment ID
I20240823001340
Address ID
CT068804431WE500XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for REBECCA MARIE PUDVAH (PT, CSCS, EMTB)

  • 15 HILLSIDE AVE

    PEABODY, MA 019606512

    Phone: (978) 578-1542

    Type: Mailing

  • 13 FERN ST

    BEVERLY, MA 019151570

    Phone: (978) 578-1542

    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: 2024-08-23

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
I20240823001340IPhysical Therapist In Private PracticeCTTBD

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 minutes68839$0
97530Therapy procedure using functional activities50142$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36937$0
97140Therapy procedure using manual technique, each 15 minutes26626$0
97161Evaluation for physical therapy, typically 20 minutes3331$0
View full utilization report →

Insurance plans in this area (ZIP 01960)

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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: 1456744762View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNH
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What is REBECCA MARIE PUDVAH (PT, CSCS, EMTB)'s NPI number?
REBECCA MARIE PUDVAH (PT, CSCS, EMTB)'s NPI is 1871990051 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to REBECCA MARIE PUDVAH (PT, CSCS, EMTB)?
You should see REBECCA MARIE PUDVAH (PT, CSCS, EMTB) as active in CMS-hosted NPPES data.
What expertise is attributed to REBECCA MARIE PUDVAH (PT, CSCS, EMTB)?
REBECCA MARIE PUDVAH (PT, CSCS, EMTB)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with REBECCA MARIE PUDVAH (PT, CSCS, EMTB)?
Directory geography for REBECCA MARIE PUDVAH (PT, CSCS, EMTB) centers on Peabody, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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