MICHAEL P WEIDMAN (PT, DPT) – Physical Therapist, NPI 1619422672

MICHAEL P WEIDMAN (PT, DPT) is a healthcare provider. based in Clark, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA01685600 (NJ). The NPI Number for MICHAEL P WEIDMAN (PT, DPT) is 1619422672

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL P WEIDMAN (PT, DPT)
NPI
1619422672
Phone
(732) 855-9751
Address
PO BOX 1014
Enumeration Date
19 August 2016
Last Update Date
11 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9087562424
Graduation Year
2016 (10 years ago)
PAC ID
8123316296
Group Practice PAC ID
8628312501
Professional Enrollment ID
I20161006000047
Address ID
NJ070694945WA459XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

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Provider Addresses for MICHAEL P WEIDMAN (PT, DPT)

  • 1014, North Rainbow Boulevard, Las Vegas, Clark County, Nevada, 8929, United States

    CLARK, NJ 070661014

    Phone: (732) 855-9751

    Fax: (732) 855-9755

    Type: Mailing

  • Washington Road, Townelake at Sayreville, Parlin, Sayreville, Middlesex County, New Jersey, 08872, United States

    PARLIN, NJ 088591676

    Phone: (732) 238-8484

    Fax: (732) 855-9755

    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: 2016-10-06

PECOS data refreshed: 2026-06-15

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
I20161006000047IPhysical Therapist In Private PracticeNJTBD

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 minutes1,681113$0
97140Therapy procedure using manual technique, each 15 minutes65384$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes63379$0
97530Therapy procedure using functional activities57360$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care29736$0
View full utilization report →

Insurance plans in this area (ZIP 07066)

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Provider's Procedures

MICHAEL P WEIDMAN (PT, DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNJ97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6613
PHYSICAL THERAPYNJ97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes15314

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: 8628312501View full group profile
NameSpecialtyState
C H I R O P R A C T I CNJ
Physical Therapist In Private PracticeNJ
C H I R O P R A C T I CNJ
Occupational Therapist In Private PracticeNJ
Physical Medicine And Rehabilitation, Pain ManagementNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physician AssistantNJ
-NJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Does MICHAEL P WEIDMAN (PT, DPT) have a public NPI I can cite?
Public records show MICHAEL P WEIDMAN (PT, DPT) under NPI 1619422672.
Is MICHAEL P WEIDMAN (PT, DPT)'s NPI status active today?
Active status means MICHAEL P WEIDMAN (PT, DPT)'s NPI record is not deactivated in the public file.
Which specialty label fits MICHAEL P WEIDMAN (PT, DPT)?
NPPES ties MICHAEL P WEIDMAN (PT, DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MICHAEL P WEIDMAN (PT, DPT)?
The directory associates MICHAEL P WEIDMAN (PT, DPT) with Clark, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for MICHAEL P WEIDMAN (PT, DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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