MR. WILLIAM ANDREW MIDDENDORF (PT) – Physical Therapist, NPI 1104008929

MR. WILLIAM ANDREW MIDDENDORF (PT) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 11988 (OH). The NPI Number for MR. WILLIAM ANDREW MIDDENDORF (PT) is 1104008929

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM ANDREW MIDDENDORF (PT)
NPI
1104008929
Phone
(513) 233-4360
Address
7575 5 MILE RD
Enumeration Date
4 December 2007
Last Update Date
22 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5133679299
Graduation Year
2007 (19 years ago)
PAC ID
8820147994
Group Practice PAC ID
0345256491
Professional Enrollment ID
I20120810000143
Address ID
OH450302728HA1149XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for MR. WILLIAM ANDREW MIDDENDORF (PT)

  • 5, Northeast Expressway, Evanston, Cincinnati, Hamilton County, Ohio, 45207, United States

    CINCINNATI, OH 452304346

    Phone: (513) 233-4360

    Fax: (513) 233-4361

    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: 2012-08-10

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
I20120810000143IPhysical Therapist In Private PracticeOHTBD

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 45230)

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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: 0345256491View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Does MR. WILLIAM ANDREW MIDDENDORF (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. WILLIAM ANDREW MIDDENDORF (PT) uses 1104008929.
Is MR. WILLIAM ANDREW MIDDENDORF (PT) still practicing?
MR. WILLIAM ANDREW MIDDENDORF (PT) is currently listed as active in the public NPI registry.
What is MR. WILLIAM ANDREW MIDDENDORF (PT)'s primary classification?
Physical Therapist is the headline specialty for MR. WILLIAM ANDREW MIDDENDORF (PT) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. WILLIAM ANDREW MIDDENDORF (PT)?
MR. WILLIAM ANDREW MIDDENDORF (PT)'s geographic hint is Cincinnati, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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