OLIVIA NICOLE WISE (DPT) – Physical Therapist, NPI 1023595717
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,982 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD
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Provider Addresses for OLIVIA NICOLE WISE (DPT)
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2222
Type: Mailing
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 605151211
Phone:
Type: Mailing
ATI Physical Therapy, 117, Orville Road, Middlesex, Middle River, Baltimore County, Maryland, 21221, United States
BALTIMORE, MD 21221
Phone: (410) 668-2270
Fax: (410) 668-5447
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: 2018-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20181212001051 | I | Physical Therapist In Private Practice | MD | TBD |
| I20181212001276 | I | Physical Therapist In Private Practice | DC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 232 | 21 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 75 | 21 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 38 | 13 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 60440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | PA | |
| - | IL | |
| Physical Therapist In Private Practice | NC | |
| - | MD | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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