JENNIFER SIPULA (PT) – Physical Therapist, NPI 1053639641

JENNIFER SIPULA (PT) is a healthcare provider. based in New baden, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070018251 (IL). The NPI Number for JENNIFER SIPULA (PT) is 1053639641

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SIPULA (PT)
NPI
1053639641
Phone
(618) 588-4000
Address
211 E HANOVER ST
Enumeration Date
7 May 2010
Last Update Date
2 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6187069759
Graduation Year
2000 (26 years ago)
PAC ID
9032233739
Group Practice PAC ID
2365718277
Professional Enrollment ID
I20130619000543
Address ID
IL620254282ED7108XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JENNIFER SIPULA (PT)

  • 211 E HANOVER ST

    NEW BADEN, IL 622651811

    Phone: (618) 588-4000

    Fax: (618) 588-4800

    Mailing address matches the actual address.

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: 2013-06-19

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
I20130619000543IPhysical 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
97530Therapy procedure using functional activities92543$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes60740$0
97116Therapy procedure for walking training, each 15 minutes53541$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes50234$0
97140Therapy procedure using manual technique, each 15 minutes7116$0
View full utilization report →

Insurance plans in this area (ZIP 62265)

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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: 2365718277View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeNY
-MO
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIN
Physical Therapist In Private PracticeMI
Qualified Speech Language PathologistIN
-IL

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Frequently asked questions

What NPI should I save for JENNIFER SIPULA (PT)?
Save NPI 1053639641 if you need a stable reference for JENNIFER SIPULA (PT).
Is JENNIFER SIPULA (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JENNIFER SIPULA (PT)'s specialty in plain language?
Clinically, the directory lists JENNIFER SIPULA (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER SIPULA (PT)?
The page summarizes New Baden, Illinois for JENNIFER SIPULA (PT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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