KENNEDY WILLENBORG (DPT) – Physical Therapist, NPI 1225768260
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS
Provider Addresses for KENNEDY WILLENBORG (DPT)
2122 YORK RD STE 300
OAK BROOK, IL 605231925
Phone: (630) 575-6250
Fax: (630) 575-7450
Type: Mailing
141 S PARKER ST
OLATHE, KS 660614043
Phone: (913) 538-5453
Fax: (913) 361-1051
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230407000341 | I | Physical Therapist In Private Practice | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 149 | 18 | $0 |
| 97530 | Therapy procedure using functional activities | 134 | 15 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 125 | 16 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 119 | 16 | $0 |
Insurance plans in this area (ZIP 60523)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | KS | |
| Physical Therapist In Private Practice | MO |
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