ALLEN VIS – Physical Therapist, NPI 1104619865

ALLEN VIS is a healthcare provider. based in Downers grove, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for ALLEN VIS is 1104619865

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ALLEN VIS
NPI
1104619865
Phone
(866) 370-8206
Address
2001 BUTTERFIELD RD STE 1600
Enumeration Date
27 May 2025
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8438847880
Graduation Year
2024 (2 years ago)
PAC ID
0648784348
Group Practice PAC ID
3375849946
Professional Enrollment ID
I20250707000548
Address ID
SC294648170MO586XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

1,887 PHYSICAL THERAPIST IN PRIVATE PRACTICE in SC

Provider Addresses for ALLEN VIS

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone: (866) 370-8206

    Type: Mailing

  • 586 LONE TREE DR

    MOUNT PLEASANT, SC 294648170

    Phone: (843) 884-7880

    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: 2025-07-07

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
I20250707000548IPhysical Therapist In Private PracticeSCTBD

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 60515)

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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: 3375849946View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ALLEN VIS for billing?
Administrative and clinical systems typically use NPI 1104619865 for ALLEN VIS.
Should I treat ALLEN VIS as an active provider?
Patients and plans typically see ALLEN VIS as active in the national extract.
What services align with ALLEN VIS's listing?
ALLEN VIS's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit ALLEN VIS in Downers Grove, Illinois?
For routing, start with Downers Grove, Illinois for ALLEN VIS, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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