KENDRA HOLLMAN GAGE (DPT) – Physical Therapist, NPI 1093908238

KENDRA HOLLMAN GAGE (DPT) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for KENDRA HOLLMAN GAGE (DPT) is 1093908238

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA HOLLMAN GAGE (DPT)
NPI
1093908238
Phone
(773) 252-2300
Address
1644 N Milwaukee Ave
Enumeration Date
21 August 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164748877
Graduation Year
2007 (19 years ago)
PAC ID
5395998827
Group Practice PAC ID
1850370453
Professional Enrollment ID
I20141007001174
Address ID
KS662262255SH5600XTERX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for KENDRA HOLLMAN GAGE (DPT)

  • 1644 N Milwaukee Ave

    Chicago, IL 606475412

    Phone: (773) 252-2300

    Type: Location

  • 8825, West 75th Street, Overland Park, Johnson County, Kansas, 66204, United States

    OVERLAND PARK, KS 662042206

    Phone: (913) 648-6755

    Fax: (913) 648-6770

    Type: Mailing

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: 2014-10-07

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
I20141007001174IPhysical Therapist In Private PracticeKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60647)

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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: 1850370453View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

How do I look up KENDRA HOLLMAN GAGE (DPT) by NPI?
Use NPI 1093908238 when you need to reference KENDRA HOLLMAN GAGE (DPT) in forms, claims, or directories.
Is KENDRA HOLLMAN GAGE (DPT) active in the national directory?
KENDRA HOLLMAN GAGE (DPT)'s public NPI profile is in an active state.
What does KENDRA HOLLMAN GAGE (DPT) treat or focus on?
Patients typically see KENDRA HOLLMAN GAGE (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KENDRA HOLLMAN GAGE (DPT)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for KENDRA HOLLMAN GAGE (DPT).
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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