MISS DONNA MARIE R GUTIERREZ (P.T.) – Physical Therapist, NPI 1275632226

MISS DONNA MARIE R GUTIERREZ (P.T.) is a healthcare provider. based in Round lake beach, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. The NPI Number for MISS DONNA MARIE R GUTIERREZ (P.T.) is 1275632226

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MISS DONNA MARIE R GUTIERREZ (P.T.)
NPI
1275632226
Phone
(847) 201-7612
Address
301 E ROLLINS RD
Enumeration Date
22 September 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9798481886
Graduation Year
2002 (24 years ago)
PAC ID
8022028265
Group Practice PAC ID
3173588878
Professional Enrollment ID
I20240701004077
Address ID
TX775156015AN421XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MISS DONNA MARIE R GUTIERREZ (P.T.)

  • Round Lake Beach, Barron Boulevard, Rollins, Round Lake Beach, Lake County, Illinois, 60030, United States

    ROUND LAKE BEACH, IL 600731331

    Phone: (847) 201-7612

    Fax: (847) 201-7613

    Mailing address matches the actual address.

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: 2024-07-01

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
I20240701004077IPhysical Therapist In Private PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60073)

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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: 3173588878View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX

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Frequently asked questions

What federal number belongs to MISS DONNA MARIE R GUTIERREZ (P.T.)?
The federal identifier for MISS DONNA MARIE R GUTIERREZ (P.T.) is NPI 1275632226.
Is MISS DONNA MARIE R GUTIERREZ (P.T.)'s NPI currently valid?
The extract we use shows MISS DONNA MARIE R GUTIERREZ (P.T.) as active.
Can you summarize MISS DONNA MARIE R GUTIERREZ (P.T.)'s specialty in plain language?
Clinically, the directory lists MISS DONNA MARIE R GUTIERREZ (P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MISS DONNA MARIE R GUTIERREZ (P.T.)'s primary listing?
We display Round Lake Beach, Illinois because that is what the record indicates for MISS DONNA MARIE R GUTIERREZ (P.T.).
Is MISS DONNA MARIE R GUTIERREZ (P.T.) a real provider?
This page reflects official NPPES data for NPI 1275632226. Always confirm identity and privileges with the practice and licensing boards.

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