KIMBERLY PAINTER (PT, DPT) – Physical Therapist, NPI 1093259525

KIMBERLY PAINTER (PT, DPT) is a healthcare provider. based in Champaign, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 070.022757 (IL). The NPI Number for KIMBERLY PAINTER (PT, DPT) is 1093259525

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY PAINTER (PT, DPT)
NPI
1093259525
Phone
(217) 398-9800
Address
2906 CROSSING CT
Enumeration Date
19 December 2016
Last Update Date
19 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178641264
Graduation Year
2016 (10 years ago)
PAC ID
1850674391
Group Practice PAC ID
7012997638
Professional Enrollment ID
I20170208000979
Address ID
IL625219705DE5255XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for KIMBERLY PAINTER (PT, DPT)

  • 2906, Crossing Court, Champaign, Champaign County, Illinois, 61822, United States

    CHAMPAIGN, IL 618226163

    Phone: (217) 398-9800

    Fax: (217) 366-0037

    Mailing address matches the actual address.

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: 2017-02-08

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
I20170208000979IPhysical Therapist In Private PracticeILTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55539$0
97530Therapy procedure using functional activities41241$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24733$0
97140Therapy procedure using manual technique, each 15 minutes22328$0
97162Evaluation for physical therapy, typically 30 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 61822)

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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: 7012997638View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNY
-NY

Reviews

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Frequently asked questions

What number should I use to identify KIMBERLY PAINTER (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1093259525 for KIMBERLY PAINTER (PT, DPT).
Is KIMBERLY PAINTER (PT, DPT)'s NPI status active today?
Active status means KIMBERLY PAINTER (PT, DPT)'s NPI record is not deactivated in the public file.
What does the directory say KIMBERLY PAINTER (PT, DPT) does?
Insurance directories may phrase it differently, but here KIMBERLY PAINTER (PT, DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIMBERLY PAINTER (PT, DPT)?
KIMBERLY PAINTER (PT, DPT) is associated with Champaign, Illinois in the same public data insurers reference.
Can I export KIMBERLY PAINTER (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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