Aveanna Healthcare – Pediatric Physical Therapist, NPI 1205860764
Pediatric Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Aveanna Healthcare
9325 Midlothian Tpke Ste A
North Chesterfield, VA 232354943
Phone: (757) 490-3223
Type: Location
Platinum Tower, 400, Interstate North Parkway Southeast, Atlanta, Cobb County, Georgia, 30339, United States
ATLANTA, GA 303395047
Phone: (470) 464-8000
Type: Mailing
South Boulevard, Windsor Woods, Virginia Beach, Virginia, 23452, United States
VIRGINIA BEACH, VA 234521160
Phone: (757) 490-3223
Fax: (757) 490-3867
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: 2012-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (43 days ago).
Enrollment records
1
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20120328000705 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | VA | 2026-04-30 |
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 23235)
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