ROGER KEITH GURLEY (PT) – Physical Therapist, NPI 1003017187

ROGER KEITH GURLEY (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PTH4967 (AL). The NPI Number for ROGER KEITH GURLEY (PT) is 1003017187

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ROGER KEITH GURLEY (PT)
NPI
1003017187
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
29 May 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567742978
Graduation Year
2006 (20 years ago)
PAC ID
1052408093
Group Practice PAC ID
7719957976
Professional Enrollment ID
I20071107000534
Address ID
AL357583401MA97XXXRDXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

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Provider Addresses for ROGER KEITH GURLEY (PT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Fax: (630) 759-9510

    Type: Mailing

  • 1877, Cherokee Avenue Southwest, Cullman, Cullman County, Alabama, 35055, United States

    CULLMAN, AL 350555547

    Phone: (256) 727-1701

    Fax: (256) 841-3142

    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: 2007-11-07

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
I20071107000534IPhysical Therapist In Private PracticeALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes26486$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17957$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17364$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care10045$0
97530Therapy procedure using functional activities9645$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719957976View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-AL
Physical Therapist In Private PracticeAL
-AL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

What NPI should I save for ROGER KEITH GURLEY (PT)?
Save NPI 1003017187 if you need a stable reference for ROGER KEITH GURLEY (PT).
Is ROGER KEITH GURLEY (PT)'s NPI currently valid?
The extract we use shows ROGER KEITH GURLEY (PT) as active.
What kind of provider is ROGER KEITH GURLEY (PT)?
The page reflects Physical Therapist for ROGER KEITH GURLEY (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for ROGER KEITH GURLEY (PT)?
The page summarizes Bolingbrook, Illinois for ROGER KEITH GURLEY (PT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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