AMANDA THERESA WEATHERBEE (PT, DPT) – Physical Therapist, NPI 1649054974

AMANDA THERESA WEATHERBEE (PT, DPT) is a healthcare provider. based in Peninsula, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT017284 (OH). The NPI Number for AMANDA THERESA WEATHERBEE (PT, DPT) is 1649054974

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA THERESA WEATHERBEE (PT, DPT)
NPI
1649054974
Phone
(330) 687-4883
Address
231 SALT CREEK RUN
Enumeration Date
18 August 2023
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2344660160
Graduation Year
2017 (9 years ago)
PAC ID
2860846631
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20230927002715
Address ID
OH443332422AK171XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for AMANDA THERESA WEATHERBEE (PT, DPT)

  • 231 SALT CREEK RUN

    PENINSULA, OH 442649464

    Phone: (330) 687-4883

    Type: Mailing

  • 1275 BARLOW RD

    HUDSON, OH 442363709

    Phone: (330) 805-9988

    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: 2023-09-27

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
I20230927002715IPhysical 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 44264)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

What federal number belongs to AMANDA THERESA WEATHERBEE (PT, DPT)?
The federal identifier for AMANDA THERESA WEATHERBEE (PT, DPT) is NPI 1649054974.
Is AMANDA THERESA WEATHERBEE (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does AMANDA THERESA WEATHERBEE (PT, DPT) work in?
You can think of AMANDA THERESA WEATHERBEE (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place AMANDA THERESA WEATHERBEE (PT, DPT)?
The snapshot lists Peninsula, Ohio for AMANDA THERESA WEATHERBEE (PT, DPT); download NPPES for the complete set.
How can I contact AMANDA THERESA WEATHERBEE (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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