KAITLYN ASHLEY HOFFMAN (OTD) – Occupational Therapist, NPI 1063988764

KAITLYN ASHLEY HOFFMAN (OTD) is a healthcare provider. based in Northbrook, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD. They hold a License No. RBT-18-68101 (IL). The NPI Number for KAITLYN ASHLEY HOFFMAN (OTD) is 1063988764

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN ASHLEY HOFFMAN (OTD)
NPI
1063988764
Phone
(847) 306-9843
Address
5 REVERE DR STE 120
Enumeration Date
19 October 2018
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123274444
Graduation Year
2023 (3 years ago)
PAC ID
6406200575
Group Practice PAC ID
6507159126
Professional Enrollment ID
I20230922001187
Address ID
NV895112037RE5255XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for KAITLYN ASHLEY HOFFMAN (OTD)

  • 120, Revere Drive, Woodridge, Highland Park, Northbrook, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600628005

    Phone: (847) 306-9843

    Type: Mailing

  • 5 Revere Dr Ste 120

    Northbrook, IL 600628005

    Phone: (847) 306-9843

    Type: Location

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (866) 370-8206

    Fax: (517) 435-3670

    Type: Mailing

  • 3175 SAINT ROSE PKWY STE 331

    HENDERSON, NV 890523508

    Phone: (702) 474-7212

    Fax: (702) 474-7458

    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: 2023-09-22

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
I20230922001187IOccupational Therapist In Private PracticeNVTBD

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 activities23220$0
97167Evaluation for occupational therapy, typically 1 hour1111$0
View full utilization report →

Insurance plans in this area (ZIP 60062)

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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: 6507159126View full group profile
NameSpecialtyState
-CA
-CA
Physical Therapist In Private PracticeCA
-TX
-CA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

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Frequently asked questions

Where can patients find KAITLYN ASHLEY HOFFMAN (OTD)'s NPI?
You can confirm KAITLYN ASHLEY HOFFMAN (OTD) with NPI 1063988764; it appears in the national provider directory.
Is KAITLYN ASHLEY HOFFMAN (OTD) active in the national directory?
KAITLYN ASHLEY HOFFMAN (OTD)'s public NPI profile is in an active state.
What does KAITLYN ASHLEY HOFFMAN (OTD) treat or focus on?
Patients typically see KAITLYN ASHLEY HOFFMAN (OTD) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for KAITLYN ASHLEY HOFFMAN (OTD)?
We surface Northbrook, Illinois for KAITLYN ASHLEY HOFFMAN (OTD) based on available NPPES addresses.
What if Northbrook, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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