MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST) – Physical Therapist, NPI 1093752727

MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST) is a healthcare provider. based in Pontiac, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. The NPI Number for MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST) is 1093752727

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST)
NPI
1093752727
Phone
(815) 844-4690
Address
924 W CUSTER AVE
Enumeration Date
1 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302622633
Graduation Year
1999 (27 years ago)
PAC ID
8628137098
Group Practice PAC ID
7012997638
Professional Enrollment ID
I20081030000650
Address ID
IL601344645GE2700XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST)

  • 924, West Custer Avenue, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617641067

    Phone: (815) 844-4690

    Fax: (815) 844-4810

    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: 2008-10-30

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
I20081030000650IPhysical 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
97530Therapy procedure using functional activities63040$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes57242$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes48642$0
97140Therapy procedure using manual technique, each 15 minutes16527$0
97163Evaluation for physical therapy, typically 45 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 61764)

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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

Can I use this page to confirm MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST)'s NPI?
Yes. MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST) is listed with NPI 1093752727 in the public NPI dataset.
Is MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST) still practicing?
MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST) is currently listed as active in the public NPI registry.
What is MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST)'s specialty?
The listing groups MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST)?
MR. MICHAEL S BENNINGTON (PHYSICAL THERAPIST)'s geographic hint is Pontiac, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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