DILLON OMMODT (DPT) – Physical Therapist, NPI 1043858160

DILLON OMMODT (DPT) is a healthcare provider. based in Oak brook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501019436 (MI). The NPI Number for DILLON OMMODT (DPT) is 1043858160

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DILLON OMMODT (DPT)
NPI
1043858160
Phone
(630) 575-1980
Address
2122 YORK RD STE 300
Enumeration Date
19 December 2019
Last Update Date
24 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5176632671
Graduation Year
2019 (7 years ago)
PAC ID
8628403300
Group Practice PAC ID
5991692634
Professional Enrollment ID
I20200128000617
Address ID
MI488271952EA1500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DILLON OMMODT (DPT)

  • 2122 YORK RD STE 300

    OAK BROOK, IL 605231925

    Phone: (630) 575-1980

    Fax: (630) 928-5080

    Type: Mailing

  • 2973 SPRINGPORT RD

    JACKSON, MI 492019060

    Phone: (517) 435-3461

    Fax: (517) 768-9951

    Type: Location

  • 33900 HARPER AVE STE 104

    CLINTON TWP, MI 480354258

    Phone: (586) 350-2644

    Type: Mailing

  • 5688 N TELEGRAPH RD

    DEARBORN HEIGHTS, MI 481273219

    Phone: (313) 633-9586

    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: 2020-01-28

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
I20200128000617IPhysical Therapist In Private PracticeMITBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,717245$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,567227$0
97530Therapy procedure using functional activities1,206175$0
97140Therapy procedure using manual technique, each 15 minutes955188$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care611129$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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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: 5991692634View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Nurse PractitionerMI
-MI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Internal MedicineMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DILLON OMMODT (DPT)?
DILLON OMMODT (DPT) — NPI 1043858160 — is the standard way to identify this listing.
Can I rely on DILLON OMMODT (DPT) being an active provider?
As of the registry snapshot, DILLON OMMODT (DPT) is marked active.
What taxonomy line describes DILLON OMMODT (DPT)?
For research purposes, treat DILLON OMMODT (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DILLON OMMODT (DPT) on a map?
Expect Oak Brook, Illinois as a primary anchor for DILLON OMMODT (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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