ATHLETIC EDGE PHYSICAL THERAPY – Physical Therapy Clinic/Center, NPI 1578052650
Physical Therapy Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ATHLETIC EDGE PHYSICAL THERAPY
44 Park St Fl 3
Andover, MA 018103684
Phone: (978) 409-2380
Fax: (978) 409-2670
Type: Location
83, Greenwood Street, Greenwood, Wakefield, Middlesex County, Massachusetts, 01880, United States
WAKEFIELD, MA 018804034
Phone:
Type: Mailing
Alfred Street, Mishawum, Woburn, Middlesex County, Massachusetts, 01801, United States
WOBURN, MA 018011900
Phone: (508) 596-8605
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: 2018-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (680 days ago).
Enrollment records
1
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180808003502 | O | Physical/Occupational Therapy Group In Private Practice | MA | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 01810)
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