PEYTON WHITESIDE – Physical Therapist, NPI 1023812724

PEYTON WHITESIDE is a healthcare provider. based in Downers grove, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for PEYTON WHITESIDE is 1023812724

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
PEYTON WHITESIDE
NPI
1023812724
Phone
Not provided
Address
2001 BUTTERFIELD RD STE 1600
Enumeration Date
2 April 2025
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057303166
Graduation Year
2024 (2 years ago)
PAC ID
6901324151
Group Practice PAC ID
2769756436
Professional Enrollment ID
I20250520004741
Address ID
AL352161810VE636XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for PEYTON WHITESIDE

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

  • 636 MONTGOMERY HWY

    VESTAVIA HILLS, AL 352161810

    Phone: (205) 730-3166

    Fax: (205) 778-0572

    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: 2025-05-20

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
I20250520004741IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60515)

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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: 2769756436View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMS
-AL
Physical Therapist In Private PracticeAL
-AL
-IL
-AL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Does PEYTON WHITESIDE have a public NPI I can cite?
Public records show PEYTON WHITESIDE under NPI 1023812724.
Should I treat PEYTON WHITESIDE as an active provider?
Patients and plans typically see PEYTON WHITESIDE as active in the national extract.
What services align with PEYTON WHITESIDE's listing?
PEYTON WHITESIDE's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is PEYTON WHITESIDE tied to Downers Grove, Illinois?
If you are local to Downers Grove, Illinois, PEYTON WHITESIDE may be relevant to your search.
Who maintains PEYTON WHITESIDE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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