TREVOR DODD (DPT) – Physical Therapist, NPI 1104631951

TREVOR DODD (DPT) is a healthcare provider. based in Downers grove, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTH12172 (AL). The NPI Number for TREVOR DODD (DPT) is 1104631951

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR DODD (DPT)
NPI
1104631951
Phone
Not provided
Address
2001 BUTTERFIELD RD STE 1600
Enumeration Date
10 February 2025
Last Update Date
24 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178595857
Graduation Year
2024 (2 years ago)
PAC ID
3476073644
Group Practice PAC ID
6002959525
Professional Enrollment ID
I20250826001708
Address ID
IN462379104IN4950XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for TREVOR DODD (DPT)

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

  • 5393 S CALLE SANTA CRUZ STE 107

    TUCSON, AZ 857063556

    Phone: (520) 225-0129

    Type: Location

  • 4950 E Stop 11 Rd Ste B

    Indianapolis, IN 462379104

    Phone: (317) 859-5857

    Fax: (317) 865-2265

    Type: Location

  • 212 McFarland Blvd

    Northport, AL 354763326

    Phone: (205) 333-5351

    Fax: (205) 333-5345

    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: 2026-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20250219001482IPhysical Therapist In Private PracticeALTBD
I20250826001708IPhysical Therapist In Private PracticeINTBD
I20260112003541IPhysical Therapist In Private PracticeAZTBD

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: 6002959525View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
-ID
Physical Therapist In Private PracticeIL
-IN
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to TREVOR DODD (DPT)?
NPI 1104631951 is assigned to TREVOR DODD (DPT) under the national enumeration system.
Does this profile mean TREVOR DODD (DPT) is currently active?
Yes — TREVOR DODD (DPT) appears active in the national provider directory.
Can you summarize TREVOR DODD (DPT)'s specialty in plain language?
Clinically, the directory lists TREVOR DODD (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for TREVOR DODD (DPT)?
We surface Downers Grove, Illinois for TREVOR DODD (DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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