KEVIN CRAIG (DPT) – Physical Therapist, NPI 1053769968

KEVIN CRAIG (DPT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTL.0014136 (CO). The NPI Number for KEVIN CRAIG (DPT) is 1053769968

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CRAIG (DPT)
NPI
1053769968
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
1 June 2016
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529220330
Graduation Year
2015 (11 years ago)
PAC ID
7416240692
Group Practice PAC ID
3476465006
Professional Enrollment ID
I20231206000473
Address ID
MN554351816ED6600XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for KEVIN CRAIG (DPT)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 930 W Ralph Hall Pkwy

    Ste 120

    Rockwall, TX 750326665

    Phone: (972) 771-1090

    Type: Location

  • 4123, Crossing Lane, Chapel Valley, Dallas, TX, Dallas, Dallas County, Texas, 75220, United States

    DALLAS, TX 752205079

    Phone: (817) 999-2926

    Type: Mailing

  • 930, Ralph Hall Parkway, Glen Hill, Rockwall, Rockwall County, Texas, 75032, United States

    STE 120

    ROCKWALL, TX 750326665

    Phone: (972) 771-1090

    Type: Location

  • 165 HARGRAVES DR STE M400

    AUSTIN, TX 787374813

    Phone: (512) 975-7773

    Fax: (512) 387-2955

    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: 2023-12-06

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
I20231206000473IPhysical Therapist In Private PracticeMNTBD

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 activities3018$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2717$0
97140Therapy procedure using manual technique, each 15 minutes2316$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1712$0
View full utilization report →

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: 3476465006View full group profile
NameSpecialtyState
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What NPI should I save for KEVIN CRAIG (DPT)?
Save NPI 1053769968 if you need a stable reference for KEVIN CRAIG (DPT).
Is KEVIN CRAIG (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KEVIN CRAIG (DPT)?
The page reflects Physical Therapist for KEVIN CRAIG (DPT). Clinical services aligned with this taxonomy classification.
Does KEVIN CRAIG (DPT) practice in Illinois?
You will see Bolingbrook, Illinois on file for KEVIN CRAIG (DPT) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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