Individual provider Active NPI

Madison Weisbarth, DPT

  • Physical Therapist
  • Middlefield, OH
National Provider Identifier
1649896259
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018661 Issued in OH
Practice address
14950 S. Sprindale Ave
Middlefield, OH 44062-0987
Phone
(440) 632-1007
Fax
(440) 574-7254
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018661 OH Primary

Addresses

Primary practice location

14950 S. Sprindale Ave
Middlefield, OH 44062-0987

Mailing address

PO Box 987
Middlefield, OH 44062-0987
Phone (440) 993-1004

Other identifiers 1

IdentifierTypeStateIssuer
PT018661OtherOHSTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myofitclinic.com Direct Cramer Physical Therapy, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626002019 OH Practitioner - Physical Therapist in Private Practice 9032531678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018661OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cramer Physical Therapy, LLC CurrentSince Jul 1, 2020 Accepting new patients
Concierge Physical Therapists LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Steward Medical Group, Inc PastSince Jul 1, 2020 Accepting new patients

Locations

1030 15th St NW
Washington, DC 20005
Phone (202) 517-8879

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649896259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440620987",
            "telephone_number": "440-993-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14950 S. SPRINDALE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440620987",
            "telephone_number": "440-632-1007",
            "fax_number": "440-574-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBARTH",
        "first_name": "MADISON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT018661",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myofitclinic.com",
            "affiliation": "Y",
            "endpointDescription": "Company",
            "affiliationName": "Cramer Physical Therapy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14950 S. Sprindale Ave",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440620987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.