SHANNON PATRICIA GENGENBACHER (PT, DPT) – Physical Therapist, NPI 1003228263

SHANNON PATRICIA GENGENBACHER (PT, DPT) is a healthcare provider. based in Glenview, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 070019069 (IL). The NPI Number for SHANNON PATRICIA GENGENBACHER (PT, DPT) is 1003228263

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON PATRICIA GENGENBACHER (PT, DPT)
NPI
1003228263
Phone
(847) 998-1198
Address
3703 W Lake Ave
Enumeration Date
22 May 2014
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6187069759
Graduation Year
2012 (14 years ago)
PAC ID
9638435464
Group Practice PAC ID
2365718277
Professional Enrollment ID
I20171113000621
Address ID
IL620254282ED7108XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for SHANNON PATRICIA GENGENBACHER (PT, DPT)

  • 3703 W Lake Ave

    Suite 200

    Glenview, IL 600261223

    Phone: (847) 998-1198

    Type: Location

  • 3614 LANDINGS RD

    JOLIET, IL 604311597

    Phone: (610) 457-0052

    Type: Mailing

  • 14731 S VAN DYKE RD

    PLAINFIELD, IL 605443185

    Phone: (815) 267-3196

    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: 2017-11-13

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
I20171113000621IPhysical Therapist In Private PracticeILTBD

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
97116Therapy procedure for walking training, each 15 minutes1,48342$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,05142$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes98941$0
97530Therapy procedure using functional activities93142$0
97140Therapy procedure using manual technique, each 15 minutes23724$0
View full utilization report →

Insurance plans in this area (ZIP 60026)

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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: 2365718277View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeNY
-MO
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIN
Physical Therapist In Private PracticeMI
Qualified Speech Language PathologistIN
-IL
Qualified Speech Language PathologistIN

Reviews

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Frequently asked questions

What number should I use to identify SHANNON PATRICIA GENGENBACHER (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1003228263 for SHANNON PATRICIA GENGENBACHER (PT, DPT).
Does the public listing show SHANNON PATRICIA GENGENBACHER (PT, DPT) as active?
SHANNON PATRICIA GENGENBACHER (PT, DPT)'s NPI record reflects an active status in NPPES.
What services align with SHANNON PATRICIA GENGENBACHER (PT, DPT)'s listing?
SHANNON PATRICIA GENGENBACHER (PT, DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to SHANNON PATRICIA GENGENBACHER (PT, DPT)?
The directory associates SHANNON PATRICIA GENGENBACHER (PT, DPT) with Glenview, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains SHANNON PATRICIA GENGENBACHER (PT, DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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