WALT DALESSANDRIS (PT) – Physical Therapist, NPI 1225004971

WALT DALESSANDRIS (PT) is a healthcare provider. based in Upland, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT012393L (PA). The NPI Number for WALT DALESSANDRIS (PT) is 1225004971

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
WALT DALESSANDRIS (PT)
NPI
1225004971
Phone
(610) 874-9710
Address
ONE MEDICAL CENTER BLVD, CCMC
Enumeration Date
23 February 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
8325251812
Group Practice PAC ID
5890681092
Professional Enrollment ID
I20111111000313
Address ID
PA190636502ME5201XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for WALT DALESSANDRIS (PT)

  • ONE MEDICAL CENTER BLVD, CCMC

    POB II, SUITE 320

    UPLAND, PA 19013

    Phone: (610) 874-9710

    Fax: (610) 874-9723

    Type: Location

  • West Chester Pike, Newtown Square, Springton Pointe Woods, Newtown Township, Delaware County, Pennsylvania, 19073, United States

    NEWTOWN SQUARE, PA 190730259

    Phone: (610) 359-5640

    Fax: (610) 359-1519

    Type: Mailing

  • 5201 PENNELL RD

    MEDIA, PA 190636502

    Phone: (610) 874-9710

    Fax: (610) 874-9723

    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: 2011-11-11

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
I20111111000313IPhysical Therapist In Private PracticePATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,351269$0
97530Therapy procedure using functional activities1,504154$0
97140Therapy procedure using manual technique, each 15 minutes1,378230$0
97150Therapy procedure in a group setting1,012185$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes879167$0
View full utilization report →

Insurance plans in this area (ZIP 19013)

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Provider's Procedures

WALT DALESSANDRIS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes854165
PHYSICAL THERAPYPA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes609160

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: 5890681092View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Diagnostic RadiologyIN
-PA
-PA
Physical Therapist In Private PracticePA
Orthopedic SurgeryPA
Occupational Therapist In Private PracticeME
-PA
-PA
-PA

Reviews

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Frequently asked questions

Is there an official ID for WALT DALESSANDRIS (PT) in U.S. healthcare records?
The official identifier for WALT DALESSANDRIS (PT) is NPI 1225004971.
Is WALT DALESSANDRIS (PT) shown as active in public data?
Registry records indicate WALT DALESSANDRIS (PT) maintains an active NPI.
What clinical focus is listed for WALT DALESSANDRIS (PT)?
At a glance, WALT DALESSANDRIS (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is WALT DALESSANDRIS (PT) registered?
Use Upland, Pennsylvania as the headline location for WALT DALESSANDRIS (PT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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