CAROLINA AFFONSO URBANO – Physical Therapist, NPI 1063122695

CAROLINA AFFONSO URBANO is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1369899 (TX). The NPI Number for CAROLINA AFFONSO URBANO is 1063122695

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINA AFFONSO URBANO
NPI
1063122695
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
5 December 2022
Last Update Date
16 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9404482007
Graduation Year
2004 (22 years ago)
PAC ID
8820468291
Group Practice PAC ID
0547583809
Professional Enrollment ID
I20221229000156
Address ID
TX762269300BA3000X407X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for CAROLINA AFFONSO URBANO

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 3000 FM 407 E STE 500

    BARTONVILLE, TX 762269300

    Phone: (940) 448-2007

    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: 2022-12-29

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
I20221229000156IPhysical Therapist In Private PracticeTXTBD

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 activities1,13377$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes74871$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19745$0
97140Therapy procedure using manual technique, each 15 minutes8024$0
97162Evaluation for physical therapy, typically 30 minutes2523$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: 0547583809View full group profile
NameSpecialtyState
-IL
Occupational Therapist In Private PracticeTX
-IL
Physical Therapist In Private PracticeIL
-TN
-TX
-TX
Occupational Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to CAROLINA AFFONSO URBANO?
The federal identifier for CAROLINA AFFONSO URBANO is NPI 1063122695.
Is CAROLINA AFFONSO URBANO currently active in the NPI registry?
CMS-published data lists CAROLINA AFFONSO URBANO as an active registrant.
What field does CAROLINA AFFONSO URBANO work in?
You can think of CAROLINA AFFONSO URBANO as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place CAROLINA AFFONSO URBANO?
The snapshot lists Bolingbrook, Illinois for CAROLINA AFFONSO URBANO; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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