HOLLY NICHOLE LEICKEL (PT) – Physical Therapist, NPI 1073090833

HOLLY NICHOLE LEICKEL (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for HOLLY NICHOLE LEICKEL (PT) is 1073090833

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY NICHOLE LEICKEL (PT)
NPI
1073090833
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
25 July 2018
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8644546670
Graduation Year
2018 (8 years ago)
PAC ID
9436402666
Group Practice PAC ID
0244267771
Professional Enrollment ID
I20181105002173
Address ID
SC296813262SI727XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:7State licenses:0Digital endpointsOther names

1,885 PHYSICAL THERAPIST IN PRIVATE PRACTICE in SC

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Provider Addresses for HOLLY NICHOLE LEICKEL (PT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

  • 200, Southeast Main Street, Simpsonville, Greenville County, South Carolina, 29681, United States

    SIMPSONVILLE, SC 296813262

    Phone: (864) 454-6670

    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: 2018-11-05

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
I20181105002173IPhysical Therapist In Private PracticeSCTBD

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 activities2,126190$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes950159$0
97140Therapy procedure using manual technique, each 15 minutes410111$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10536$0
97163Evaluation for physical therapy, typically 45 minutes4240$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: 0244267771View full group profile
NameSpecialtyState
-SC
-SC
Physical Therapist In Private PracticeNC
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeIL
-WV
Physical Therapist In Private PracticeNY
-IL
-IL
-IL

Reviews

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Frequently asked questions

What number should I use to identify HOLLY NICHOLE LEICKEL (PT) for billing?
Administrative and clinical systems typically use NPI 1073090833 for HOLLY NICHOLE LEICKEL (PT).
Is HOLLY NICHOLE LEICKEL (PT)'s NPI status active today?
Active status means HOLLY NICHOLE LEICKEL (PT)'s NPI record is not deactivated in the public file.
Which specialty label fits HOLLY NICHOLE LEICKEL (PT)?
NPPES ties HOLLY NICHOLE LEICKEL (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is HOLLY NICHOLE LEICKEL (PT) tied to Bolingbrook, Illinois?
If you are local to Bolingbrook, Illinois, HOLLY NICHOLE LEICKEL (PT) may be relevant to your search.
Why is information missing for HOLLY NICHOLE LEICKEL (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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