PHYSICAL THERAPY AT ACAC – Physical Therapist, NPI 1205809506
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PHYSICAL THERAPY AT ACAC
504, Woodmont Drive, Rio Heights, Charlottesville, Albemarle County, Virginia, 22901, United States
CHARLOTTESVILLE, VA 229017405
Phone: (434) 817-7848
Fax: (434) 951-2194
Type: Location
504 ALBEMARLE SQ
CHARLOTTESVILLE, VA 229017405
Phone: (434) 817-7848
Fax: (434) 465-6834
Type: Mailing
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229021583
Phone: (434) 982-7794
Fax: (434) 982-7752
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: 2004-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (283 days ago).
Enrollment records
1
Earliest due date
2025-08-31
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 |
|---|---|---|---|---|
| O20040728000284 | O | Physical/Occupational Therapy Group In Private Practice | VA | 2025-08-31 |
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 22901)
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