ARIEL EISENBERG – Physical Therapist, NPI 1053140079

ARIEL EISENBERG is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for ARIEL EISENBERG is 1053140079

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ARIEL EISENBERG
NPI
1053140079
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
29 July 2024
Last Update Date
29 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7736946233
Graduation Year
2024 (2 years ago)
PAC ID
7517405053
Group Practice PAC ID
3375593957
Professional Enrollment ID
I20240815002300
Address ID
IL606595113CH5616XAVEX400
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

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for ARIEL EISENBERG

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 3852 N CICERO AVE

    CHICAGO, IL 606413622

    Phone: (773) 355-5407

    Fax: (773) 272-9144

    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: 2024-08-15

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
I20240815002300IPhysical 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.

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

Insurance plans in this area (ZIP 60440)

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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: 3375593957View full group profile
NameSpecialtyState
-IL
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
-IL
Orthopedic SurgeryIL
Physician AssistantAZ

Reviews

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Frequently asked questions

Is there an official ID for ARIEL EISENBERG in U.S. healthcare records?
The official identifier for ARIEL EISENBERG is NPI 1053140079.
Is ARIEL EISENBERG still an active registrant?
ARIEL EISENBERG carries an active NPI according to the public dataset.
What clinical focus is listed for ARIEL EISENBERG?
At a glance, ARIEL EISENBERG is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ARIEL EISENBERG located near Bolingbrook?
ARIEL EISENBERG currently maps to Bolingbrook, Illinois in this extract.
When was this NPI issued?
Enumeration for ARIEL EISENBERG is noted as July 29, 2024 where the registry provides it.

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