JANE SOO EUN (MPT) – Physical Therapist, NPI 1235271024

JANE SOO EUN (MPT) is a healthcare provider. based in Addison, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 070015353 (IL). The NPI Number for JANE SOO EUN (MPT) is 1235271024

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JANE SOO EUN (MPT)
NPI
1235271024
Phone
(630) 953-0343
Address
1776 W Centennial Pl
Enumeration Date
12 February 2007
Last Update Date
29 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306071820
Graduation Year
2003 (23 years ago)
PAC ID
4880850429
Group Practice PAC ID
8325014020
Professional Enrollment ID
I20120725000691
Address ID
IL601012307AD500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JANE SOO EUN (MPT)

  • 1776 W Centennial Pl

    2ND FLOOR

    Addison, IL 601011075

    Phone: (630) 953-0343

    Fax: (630) 953-0353

    Type: Location

  • Centennial Plaza, Addison, Addison Township, DuPage County, Illinois, United States

    2ND FLOOR

    ADDISON, IL 601011075

    Phone:

    Type: Mailing

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (866) 370-8206

    Fax: (517) 435-3670

    Type: Mailing

  • 500 W LAKE ST

    ADDISON, IL 601012307

    Phone: (630) 607-1820

    Fax: (630) 628-5307

    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: 2012-07-25

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
I20120725000691IPhysical Therapist In Private PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities12531$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6730$0
97140Therapy procedure using manual technique, each 15 minutes3915$0
View full utilization report →

Insurance plans in this area (ZIP 60101)

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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: 8325014020View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JANE SOO EUN (MPT)?
JANE SOO EUN (MPT) — NPI 1235271024 — is the standard way to identify this listing.
Is JANE SOO EUN (MPT) listed as active for patients and plans?
The listing shows JANE SOO EUN (MPT) as active in the NPI system.
What is JANE SOO EUN (MPT)'s specialty?
The listing groups JANE SOO EUN (MPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect JANE SOO EUN (MPT) on a map?
Expect Addison, Illinois as a primary anchor for JANE SOO EUN (MPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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