ANDREW M IV BACHA (DPT) – Physical Therapist, NPI 1043799778

ANDREW M IV BACHA (DPT) is a healthcare provider. based in Milton freewater, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 62944 (OR). The NPI Number for ANDREW M IV BACHA (DPT) is 1043799778

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW M IV BACHA (DPT)
NPI
1043799778
Phone
(541) 938-3318
Address
120 Elzora St
Enumeration Date
13 August 2018
Last Update Date
31 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2018 (8 years ago)
PAC ID
8820333537
Group Practice PAC ID
3779991559
Professional Enrollment ID
I20260224000516
Address ID
FL322560830JA5011XPKWY303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for ANDREW M IV BACHA (DPT)

  • 120 Elzora St

    Milton Freewater, OR 978629454

    Phone: (541) 938-3318

    Type: Location

  • 200, East Barnett Road, Medford, Jackson County, Oregon, 97501, United States

    MEDFORD, OR 975048674

    Phone: (541) 779-6250

    Fax: (541) 772-2531

    Type: Mailing

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: 2026-02-24

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
I20260224000516IPhysical Therapist In Private PracticeFLTBD

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 97862)

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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: 3779991559View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I verify ANDREW M IV BACHA (DPT) with an NPI only?
You can start verification with NPI 1043799778 for ANDREW M IV BACHA (DPT), then check state licensing separately.
Is ANDREW M IV BACHA (DPT) still practicing?
ANDREW M IV BACHA (DPT) is currently listed as active in the public NPI registry.
What is ANDREW M IV BACHA (DPT)'s primary classification?
Physical Therapist is the headline specialty for ANDREW M IV BACHA (DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREW M IV BACHA (DPT)?
ANDREW M IV BACHA (DPT)'s geographic hint is Milton Freewater, Oregon in our summary view.
Is the information about ANDREW M IV BACHA (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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