MICHAEL WATERS (DPT) – Physical Therapist, NPI 1255675427

MICHAEL WATERS (DPT) is a healthcare provider. based in New lenox, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070019603 (IL). The NPI Number for MICHAEL WATERS (DPT) is 1255675427

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WATERS (DPT)
NPI
1255675427
Phone
(815) 485-2916
Address
1938 E LINCOLN HWY
Enumeration Date
12 November 2012
Last Update Date
20 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8649674600
Graduation Year
2012 (14 years ago)
PAC ID
0143475822
Group Practice PAC ID
2769915347
Professional Enrollment ID
I20210813002056
Address ID
SC296806772SI35XXXCTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MICHAEL WATERS (DPT)

  • 1938 E LINCOLN HWY

    SUITE 111

    NEW LENOX, IL 604513810

    Phone: (815) 485-2916

    Fax: (815) 485-2918

    Type: Location

  • 625 ENTERPRISE DR

    OAK BROOK, IL 605238813

    Phone: (630) 575-6200

    Type: Mailing

  • 1938 E Lincoln Hwy

    Suite 111

    New Lenox, IL 604513810

    Phone: (815) 485-2916

    Fax: (815) 485-2918

    Type: Location

  • 35 RAY E TALLEY CT

    SIMPSONVILLE, SC 296806772

    Phone: (864) 967-4600

    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: 2021-08-13

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
I20210813002056IPhysical Therapist In Private PracticeSCTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes25125$0
97530Therapy procedure using functional activities12125$0
97140Therapy procedure using manual technique, each 15 minutes9323$0
View full utilization report →

Insurance plans in this area (ZIP 60451)

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Provider's Procedures

MICHAEL WATERS (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes97254
PHYSICAL THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes41848

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: 2769915347View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeSC

Reviews

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Frequently asked questions

What is MICHAEL WATERS (DPT)'s NPI number?
MICHAEL WATERS (DPT)'s NPI is 1255675427 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MICHAEL WATERS (DPT)?
For scheduling context, MICHAEL WATERS (DPT) is shown as active in the registry.
What kind of doctor is MICHAEL WATERS (DPT)?
MICHAEL WATERS (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL WATERS (DPT)?
Travel planning: use New Lenox, Illinois as the reference point for MICHAEL WATERS (DPT), then confirm.
Does MICHAEL WATERS (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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