MARY JO EMMERICH – Physical Therapist, NPI 1275148819

MARY JO EMMERICH is a healthcare provider. based in Newton, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 70025611 (IL). The NPI Number for MARY JO EMMERICH is 1275148819

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY JO EMMERICH
NPI
1275148819
Phone
(217) 606-3004
Address
507 W WASHINGTON ST
Enumeration Date
10 September 2020
Last Update Date
4 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2176063004
Graduation Year
2020 (6 years ago)
PAC ID
6507284155
Group Practice PAC ID
1254317217
Professional Enrollment ID
I20201204002106
Address ID
IL624481247NE507XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MARY JO EMMERICH

  • 507 W WASHINGTON ST

    NEWTON, IL 624481247

    Phone: (217) 606-3004

    Fax: (217) 717-2190

    Type: Location

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 5399 S US HIGHWAY 41 STE 113

    TERRE HAUTE, IN 478024781

    Phone: (812) 298-8883

    Type: Location

  • PO BOX 5629

    EVANSVILLE, IN 477165629

    Phone:

    Type: Mailing

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: 2020-12-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200914001162IPhysical Therapist In Private PracticeINTBD
I20201204002106IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47862$0
97530Therapy procedure using functional activities43745$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40854$0
97140Therapy procedure using manual technique, each 15 minutes32862$0
97162Evaluation for physical therapy, typically 30 minutes3938$0
View full utilization report →

Insurance plans in this area (ZIP 62448)

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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: 1254317217View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
-KY
Physical Therapist In Private PracticeIN
-IN
Occupational Therapist In Private PracticeIN
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY JO EMMERICH?
MARY JO EMMERICH — NPI 1275148819 — is the standard way to identify this listing.
Does the file indicate MARY JO EMMERICH is practicing under active NPI?
Directory data currently reports MARY JO EMMERICH as active.
What is MARY JO EMMERICH best known for clinically?
Directory data describes MARY JO EMMERICH with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect MARY JO EMMERICH on a map?
Expect Newton, Illinois as a primary anchor for MARY JO EMMERICH unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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