GILLIAN SUTTON (PT, DPT) – Physical Therapist, NPI 1104683051

GILLIAN SUTTON (PT, DPT) is a healthcare provider. based in La moille, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT6729 (ME). The NPI Number for GILLIAN SUTTON (PT, DPT) is 1104683051

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
GILLIAN SUTTON (PT, DPT)
NPI
1104683051
Phone
(815) 501-1393
Address
34645 2800 NORTH AVE
Enumeration Date
5 March 2024
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036226688
Graduation Year
2022 (4 years ago)
PAC ID
1850810599
Group Practice PAC ID
2961316500
Professional Enrollment ID
I20250527000434
Address ID
CO801367741ST56171AVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:2State licenses:4Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

Provider Addresses for GILLIAN SUTTON (PT, DPT)

  • 34645 2800 NORTH AVE

    LA MOILLE, IL 613309358

    Phone: (815) 501-1393

    Type: Mailing

  • 24 HOSPITAL LN

    CALAIS, ME 046191329

    Phone: (207) 454-2544

    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: 2025-05-27

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
I20250527000434IPhysical Therapist In Private PracticeCOTBD

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 61330)

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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: 2961316500View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What federal number belongs to GILLIAN SUTTON (PT, DPT)?
The federal identifier for GILLIAN SUTTON (PT, DPT) is NPI 1104683051.
Is GILLIAN SUTTON (PT, DPT) active in the national directory?
GILLIAN SUTTON (PT, DPT)'s public NPI profile is in an active state.
What does GILLIAN SUTTON (PT, DPT) treat or focus on?
Patients typically see GILLIAN SUTTON (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for GILLIAN SUTTON (PT, DPT)?
The page summarizes La Moille, Illinois for GILLIAN SUTTON (PT, DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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