MADISON WEISBARTH (DPT) – Physical Therapist, NPI 1649896259

MADISON WEISBARTH (DPT) is a healthcare provider. based in Middlefield, Ohio. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT018661 (OH). The NPI Number for MADISON WEISBARTH (DPT) is 1649896259

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
MADISON WEISBARTH (DPT)
NPI
1649896259
Phone
(440) 993-1004
Address
PO BOX 987
Enumeration Date
19 June 2020
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4406321007
Graduation Year
2020 (6 years ago)
PAC ID
9032531678
Group Practice PAC ID
4587880240
Professional Enrollment ID
I20200626002019

Contacts

Main Contact
myofitclinic.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

Provider Addresses for MADISON WEISBARTH (DPT)

  • PO BOX 987

    MIDDLEFIELD, OH 440620987

    Phone: (440) 993-1004

    Type: Mailing

  • 14950 S. SPRINDALE AVE

    MIDDLEFIELD, OH 440620987

    Phone: (440) 632-1007

    Fax: (440) 574-7254

    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: 2020-06-26

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
I20200626002019IPhysical 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 44062)

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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: 4587880240View full group profile
NameSpecialtyState
-CO
Physical Therapist In Private PracticeOH
-OR
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

How is MADISON WEISBARTH (DPT) identified in CMS data?
CMS-hosted NPPES data lists MADISON WEISBARTH (DPT) with NPI 1649896259.
Can I rely on MADISON WEISBARTH (DPT) being an active provider?
As of the registry snapshot, MADISON WEISBARTH (DPT) is marked active.
What is MADISON WEISBARTH (DPT)'s primary classification?
Physical Therapist is the headline specialty for MADISON WEISBARTH (DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect MADISON WEISBARTH (DPT) on a map?
Expect Middlefield, Ohio as a primary anchor for MADISON WEISBARTH (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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