DAVID A PATRICK (DPT) – Physical Therapist, NPI 1215369079

DAVID A PATRICK (DPT) is a healthcare provider. based in Austintown, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT014400 (OH). The NPI Number for DAVID A PATRICK (DPT) is 1215369079

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DAVID A PATRICK (DPT)
NPI
1215369079
Phone
(330) 755-3000
Address
6006 MAHONING AVE
Enumeration Date
5 August 2013
Last Update Date
5 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303865252
Graduation Year
2013 (13 years ago)
PAC ID
2062656218
Group Practice PAC ID
1850385519
Professional Enrollment ID
I20130910000566
Address ID
OH439209600EA15765170X401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for DAVID A PATRICK (DPT)

  • 6006 MAHONING AVE

    SUITE G

    AUSTINTOWN, OH 445152239

    Phone: (330) 755-3000

    Fax: (330) 599-7008

    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: 2013-09-10

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
I20130910000566IPhysical 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 44515)

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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: 1850385519View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Qualified Speech Language PathologistOH

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Frequently asked questions

What NPI should I save for DAVID A PATRICK (DPT)?
Save NPI 1215369079 if you need a stable reference for DAVID A PATRICK (DPT).
Is DAVID A PATRICK (DPT) active in the national directory?
DAVID A PATRICK (DPT)'s public NPI profile is in an active state.
What kind of provider is DAVID A PATRICK (DPT)?
The page reflects Physical Therapist for DAVID A PATRICK (DPT). Clinical services aligned with this taxonomy classification.
Does DAVID A PATRICK (DPT) practice in Ohio?
You will see Austintown, Ohio on file for DAVID A PATRICK (DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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