MR. TIMOTHY JAMES WITTENAUER – Physical Therapist, NPI 1417933953

MR. TIMOTHY JAMES WITTENAUER is a healthcare provider. based in Midlothian, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2305004636 (VA). The NPI Number for MR. TIMOTHY JAMES WITTENAUER is 1417933953

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY JAMES WITTENAUER
NPI
1417933953
Phone
(804) 560-9575
Address
108 WALTON PARK LN
Enumeration Date
16 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045609575
Graduation Year
1993 (33 years ago)
PAC ID
1254317779
Professional Enrollment ID
I20111222000489
Address ID
VA231143028MI108XXLNXX400
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

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

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Provider Addresses for MR. TIMOTHY JAMES WITTENAUER

  • 108, Walton Park Lane, Midlothian, Chesterfield County, Virginia, 23114, United States

    MIDLOTHIAN, VA 231143028

    Phone: (804) 560-9575

    Fax: (804) 560-9557

    Mailing address matches the actual address.

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: 2011-12-22

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
I20111222000489IPhysical Therapist In Private PracticeVATBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5,67685$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,69885$0
97530Therapy procedure using functional activities95481$0
97162Evaluation for physical therapy, typically 30 minutes7162$0
View full utilization report →

Insurance plans in this area (ZIP 23114)

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Provider's Procedures

MR. TIMOTHY JAMES WITTENAUER 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 THERAPYVA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1753138

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Frequently asked questions

What NPI should I save for MR. TIMOTHY JAMES WITTENAUER?
Save NPI 1417933953 if you need a stable reference for MR. TIMOTHY JAMES WITTENAUER.
Is MR. TIMOTHY JAMES WITTENAUER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MR. TIMOTHY JAMES WITTENAUER work in?
You can think of MR. TIMOTHY JAMES WITTENAUER as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MR. TIMOTHY JAMES WITTENAUER practice in Virginia?
You will see Midlothian, Virginia on file for MR. TIMOTHY JAMES WITTENAUER alongside any extra practice locations.
What if Midlothian, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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