GREGORY CARROLL (PT) – Physical Therapist, NPI 1063880649

GREGORY CARROLL (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT024716 (PA). The NPI Number for GREGORY CARROLL (PT) is 1063880649

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY CARROLL (PT)
NPI
1063880649
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
13 September 2015
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4844522591
Graduation Year
2015 (11 years ago)
PAC ID
5991014912
Group Practice PAC ID
9537112719
Professional Enrollment ID
I20151014000963
Address ID
PA190825438UP815XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,253 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for GREGORY CARROLL (PT)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Type: Mailing

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

  • 2660B EGYPT RD

    NORRISTOWN, PA 194032302

    Phone: (484) 391-2252

    Fax: (610) 666-0295

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2015-10-14

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
I20151014000963IPhysical Therapist In Private PracticePATBD

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 activities98334$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes38328$0
97140Therapy procedure using manual technique, each 15 minutes20928$0
97163Evaluation for physical therapy, typically 45 minutes3125$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

Loading plans...

Provider's Procedures

GREGORY CARROLL (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97001Physical therapy evaluation4641

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: 9537112719View full group profile
NameSpecialtyState
-MD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeNC
-MD
-IL
-IL
-IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for GREGORY CARROLL (PT)?
GREGORY CARROLL (PT) — NPI 1063880649 — is the standard way to identify this listing.
Is GREGORY CARROLL (PT) listed as active for patients and plans?
The listing shows GREGORY CARROLL (PT) as active in the NPI system.
What taxonomy line describes GREGORY CARROLL (PT)?
For research purposes, treat GREGORY CARROLL (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is GREGORY CARROLL (PT) based?
GREGORY CARROLL (PT) is tied to Bolingbrook, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

ATI Physical Therapy

Physical Therapist
West Raymond Street, Indianapolis, Marion, Indiana, 46221, United States of America
NPI: 1316940505
910, Frederick Road, Catonsville, Baltimore County, Maryland, 21228, United States of America
NPI: 1851394977

MISS ANNETTE P LEON (PT)

Physical Therapist
Remington Boulevard, Bolingbrook, Will County, Illinois, 60439:60440, United States
NPI: 1164424206

NANCY HESS (PT)

Physical Therapist
West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States
NPI: 1609870229
Copperwood Park Lane, Montgomery County, Texas, 77386, United States
NPI: 1811992225

MR. MICHAEL D BEEBE (PT)

Physical Therapist
3654, West Anthem Way, Anthem, Maricopa County, Arizona, 85086, United States
NPI: 1891790119
3015 E NEW YORK ST.
NPI: 1023013273

MS. DONNA B REGALADO (P.T.)

Physical Therapist
Festival Way, Ballentrae, Waldorf, Charles County, Maryland, 20602-9996, United States
NPI: 1164427720
203, Centennial Boulevard, Voorhees Township, Camden County, New Jersey, 08043, United States
NPI: 1306841846