MICHAEL T HADERSPECK (DPT) – Physical Therapist, NPI 1013405620

MICHAEL T HADERSPECK (DPT) is a healthcare provider. based in Riverside, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070023923 (IL). The NPI Number for MICHAEL T HADERSPECK (DPT) is 1013405620

Main info

Male
8 Years Of Experience
Name
MICHAEL T HADERSPECK (DPT)
NPI
1013405620
Phone
(708) 442-9880
Address
51 E BURLINGTON ST
Enumeration Date
30 April 2018
Last Update Date
5 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2243006158
Graduation Year
2018 (8 years ago)
PAC ID
5496006843
Group Practice PAC ID
2365849890
Professional Enrollment ID
I20180924002045
Address ID
IL600622004NO2909XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MICHAEL T HADERSPECK (DPT)

  • 45-51, East Burlington Street, Riverside, Riverside Township, Cook County, Illinois, 60546, United States

    RIVERSIDE, IL 60546

    Phone: (708) 442-9880

    Fax: (708) 442-9884

    Type: Location

  • 600, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States

    WESTMONT, IL 605595548

    Phone: (630) 575-6200

    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: 2018-09-24

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
I20180924002045IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes99164$0
97530Therapy procedure using functional activities89760$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64062$0
97140Therapy procedure using manual technique, each 15 minutes25051$0
97161Evaluation for physical therapy, typically 20 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 60546)

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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: 2365849890View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What identifier follows MICHAEL T HADERSPECK (DPT) across health systems?
The NPI 1013405620 uniquely identifies MICHAEL T HADERSPECK (DPT) in U.S. healthcare data.
Should I treat MICHAEL T HADERSPECK (DPT) as an active provider?
Patients and plans typically see MICHAEL T HADERSPECK (DPT) as active in the national extract.
Which specialty label fits MICHAEL T HADERSPECK (DPT)?
NPPES ties MICHAEL T HADERSPECK (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MICHAEL T HADERSPECK (DPT)?
The directory associates MICHAEL T HADERSPECK (DPT) with Riverside, Illinois. Check all listed addresses for suites or satellite offices.
Can I export MICHAEL T HADERSPECK (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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