EDAN LEIGH KOOPMAN (OT) – Occupational Therapist, NPI 1093943953
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for EDAN LEIGH KOOPMAN (OT)
1122 MAIN ST
ANTIOCH, IL 600021808
Phone: (847) 395-0321
Fax: (847) 395-0298
Type: Location
2122 YORK RD STE 300
OAK BROOK, IL 605231925
Phone: (630) 575-1980
Fax: (630) 928-5080
Type: Mailing
900 Rand Rd, 900, East Rand Road, Des Plaines, Cook County, Illinois, 60016, United States
SUITE 300
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Type: Mailing
1025, Red Oak Lane, Lindenhurst, Lake County, Illinois, 60046, United States
SUITE 100
LINDENHURST, IL 600465017
Phone: (847) 245-7175
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: 2024-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100317000704 | I | Occupational Therapist In Private Practice | IL | TBD |
| I20241024002868 | I | Occupational Therapist In Private Practice | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 214 | 23 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 181 | 23 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 118 | 22 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 80 | 19 | $0 |
Insurance plans in this area (ZIP 60002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | VA | |
| - | MI | |
| - | IL | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | IL | |
| - | MI |
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