MA CARMELA TIMOGTIMOG (PT) – Physical Therapist, NPI 1104177583

MA CARMELA TIMOGTIMOG (PT) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070016706 (IL). The NPI Number for MA CARMELA TIMOGTIMOG (PT) is 1104177583

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MA CARMELA TIMOGTIMOG (PT)
NPI
1104177583
Phone
(312) 567-5550
Address
2525 S MICHIGAN AVE
Enumeration Date
26 September 2012
Last Update Date
26 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308002444
Graduation Year
2001 (25 years ago)
PAC ID
7315317617
Group Practice PAC ID
3870785132
Professional Enrollment ID
I20230103000857
Address ID
IL606575083CH2835XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MA CARMELA TIMOGTIMOG (PT)

  • 2525 S MICHIGAN AVE

    CHICAGO, IL 606162333

    Phone: (312) 567-5550

    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: 2023-01-03

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
I20230103000857IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes41629$0
97116Therapy procedure for walking training, each 15 minutes32627$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes31629$0
97162Evaluation for physical therapy, typically 30 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 60616)

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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: 3870785132View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Qualified Speech Language PathologistIL
-IL
Occupational Therapist In Private PracticeIL
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do payers reference MA CARMELA TIMOGTIMOG (PT)?
For MA CARMELA TIMOGTIMOG (PT), use NPI 1104177583 as the unique 10-digit identifier.
Is MA CARMELA TIMOGTIMOG (PT) shown as active in public data?
Registry records indicate MA CARMELA TIMOGTIMOG (PT) maintains an active NPI.
What expertise is attributed to MA CARMELA TIMOGTIMOG (PT)?
MA CARMELA TIMOGTIMOG (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MA CARMELA TIMOGTIMOG (PT) associated with Chicago?
Public fields place MA CARMELA TIMOGTIMOG (PT) around Chicago, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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