SHANNON LEE BUCHWALD (DPT) – Pediatric Physical Therapist, NPI 1407588528

SHANNON LEE BUCHWALD (DPT) is a healthcare provider. based in Whitehouse, Ohio. specializing in Pediatric Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT016674 (OH). The NPI Number for SHANNON LEE BUCHWALD (DPT) is 1407588528

Main info

Female
Name
SHANNON LEE BUCHWALD (DPT)
NPI
1407588528
Phone
(419) 251-0070
Address
7435 Berridge Rd
Enumeration Date
28 June 2022
Last Update Date
14 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for SHANNON LEE BUCHWALD (DPT)

  • 7435 Berridge Rd

    Whitehouse, OH 435719348

    Phone: (419) 251-0070

    Type: Location

  • 7223 Maumee Western Rd

    Maumee, OH 435379755

    Phone: (419) 251-0070

    Type: Location

  • 44 W Samaria Rd

    Temperance, MI 481829680

    Phone: (419) 251-0070

    Type: Location

  • 3930 SUNFOREST CT STE 200

    TOLEDO, OH 436234441

    Phone: (419) 251-0070

    Type: Mailing

  • 2222 CHERRY ST STE 1900

    TOLEDO, OH 436082673

    Phone: (419) 251-3878

    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: 2024-12-30

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
I20241230000622IPhysical Therapist In Private PracticeOHTBD

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 43571)

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Reviews

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Frequently asked questions

Is there an official ID for SHANNON LEE BUCHWALD (DPT) in U.S. healthcare records?
The official identifier for SHANNON LEE BUCHWALD (DPT) is NPI 1407588528.
Active or inactive — what applies to SHANNON LEE BUCHWALD (DPT)?
You should see SHANNON LEE BUCHWALD (DPT) as active in CMS-hosted NPPES data.
What area of care is associated with SHANNON LEE BUCHWALD (DPT)?
SHANNON LEE BUCHWALD (DPT)'s record emphasizes Pediatric Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SHANNON LEE BUCHWALD (DPT)?
Directory geography for SHANNON LEE BUCHWALD (DPT) centers on Whitehouse, Ohio.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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