ADDISON GRACE BOORE – Physical Therapist, NPI 1326911652

ADDISON GRACE BOORE is a healthcare provider. based in Oak park, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 070.029543 (IL). The NPI Number for ADDISON GRACE BOORE is 1326911652

Main info

Female
1 Year Of Experience
Name
ADDISON GRACE BOORE
NPI
1326911652
Phone
Not provided
Address
207 HARRISON ST
Enumeration Date
24 September 2025
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3123918752
Graduation Year
2025 (1 year ago)
PAC ID
3870082233
Group Practice PAC ID
8921359357
Professional Enrollment ID
I20251028000090
Address ID
IL603041533OA207XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for ADDISON GRACE BOORE

  • 207 HARRISON ST

    OAK PARK, IL 603041533

    Phone:

    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: 2025-10-28

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
I20251028000090IPhysical 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.

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

Insurance plans in this area (ZIP 60304)

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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: 8921359357View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeTX
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I verify ADDISON GRACE BOORE with an NPI only?
You can start verification with NPI 1326911652 for ADDISON GRACE BOORE, then check state licensing separately.
Is ADDISON GRACE BOORE listed as active for patients and plans?
The listing shows ADDISON GRACE BOORE as active in the NPI system.
What is ADDISON GRACE BOORE's specialty?
The listing groups ADDISON GRACE BOORE with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect ADDISON GRACE BOORE on a map?
Expect Oak Park, Illinois as a primary anchor for ADDISON GRACE BOORE unless the record lists multiple sites.
Is the information about ADDISON GRACE BOORE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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