ROBERT MCDONNELL (MSPT, MDT) – Physical Therapist, NPI 1104868900

ROBERT MCDONNELL (MSPT, MDT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in Physical Therapist. They hold the professional credentials MSPT, MDT. They hold a License No. J10001531 (DE). The NPI Number for ROBERT MCDONNELL (MSPT, MDT) is 1104868900

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT MCDONNELL (MSPT, MDT)
NPI
1104868900
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
13 June 2006
Last Update Date
3 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3028365670
Graduation Year
2001 (25 years ago)
PAC ID
7012914153
Group Practice PAC ID
9537112719
Professional Enrollment ID
I20061102000066
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for ROBERT MCDONNELL (MSPT, MDT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • Walmart Supercenter, 591, Memorial Drive, Chicopee, Hampden County, Massachusetts, 01020, United States

    SUITE H

    CHICOPEE, MA 010205024

    Phone: (413) 331-1625

    Fax: (413) 377-3178

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 60440)

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Provider's Procedures

ROBERT MCDONNELL (MSPT, MDT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes3221

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: 9537112719View full group profile
NameSpecialtyState
-MD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeNC
-MD
Physical Therapist In Private PracticeIL
-IL
-IL

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Frequently asked questions

How do I look up ROBERT MCDONNELL (MSPT, MDT) by NPI?
Use NPI 1104868900 when you need to reference ROBERT MCDONNELL (MSPT, MDT) in forms, claims, or directories.
Is ROBERT MCDONNELL (MSPT, MDT) currently active in the NPI registry?
CMS-published data lists ROBERT MCDONNELL (MSPT, MDT) as an active registrant.
What kind of provider is ROBERT MCDONNELL (MSPT, MDT)?
The page reflects Physical Therapist for ROBERT MCDONNELL (MSPT, MDT). Clinical services aligned with this taxonomy classification.
Does ROBERT MCDONNELL (MSPT, MDT) practice in Illinois?
You will see Bolingbrook, Illinois on file for ROBERT MCDONNELL (MSPT, MDT) alongside any extra practice locations.
Is ROBERT MCDONNELL (MSPT, MDT) a real provider?
This page reflects official NPPES data for NPI 1104868900. Always confirm identity and privileges with the practice and licensing boards.

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