MR. MATTHEW CARL WEISSBACH (P.T.) – Physical Therapist, NPI 1811061443

MR. MATTHEW CARL WEISSBACH (P.T.) is a healthcare provider. based in Beaverton, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 06679 (OR). The NPI Number for MR. MATTHEW CARL WEISSBACH (P.T.) is 1811061443

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW CARL WEISSBACH (P.T.)
NPI
1811061443
Phone
(503) 597-0035
Address
735 SW 158TH AVE
Enumeration Date
17 November 2006
Last Update Date
22 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712133335
Graduation Year
2002 (24 years ago)
PAC ID
9638256381
Group Practice PAC ID
6709155534
Professional Enrollment ID
I20120123000796
Address ID
OR971409320SH20510RDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for MR. MATTHEW CARL WEISSBACH (P.T.)

  • Anchor NW Property Group, 735, Southwest 158th Avenue, Mortondale, Elmonica, Beaverton, Metro, Washington County, Oregon, 97006, United States

    SUITE 160

    BEAVERTON, OR 970064952

    Phone: (503) 597-0035

    Fax: (503) 726-5490

    Type: Location

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Fax: (630) 759-9510

    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: 2012-01-23

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
I20120123000796IPhysical Therapist In Private PracticeORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes33811$0
View full utilization report →

Insurance plans in this area (ZIP 97006)

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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: 6709155534View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the registry number for MR. MATTHEW CARL WEISSBACH (P.T.)?
The registry entry for MR. MATTHEW CARL WEISSBACH (P.T.) shows NPI 1811061443.
Quick check: is MR. MATTHEW CARL WEISSBACH (P.T.) active?
Public NPPES data shows MR. MATTHEW CARL WEISSBACH (P.T.) with an active NPI status right now.
What does the directory say MR. MATTHEW CARL WEISSBACH (P.T.) does?
Insurance directories may phrase it differently, but here MR. MATTHEW CARL WEISSBACH (P.T.) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. MATTHEW CARL WEISSBACH (P.T.)?
MR. MATTHEW CARL WEISSBACH (P.T.) shows a connection to Beaverton, Oregon in registry-derived data.
Who maintains MR. MATTHEW CARL WEISSBACH (P.T.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.