MRS. KIMBERLY A. MCCORMACK (DPT) – Physical Therapist, NPI 1346639820

MRS. KIMBERLY A. MCCORMACK (DPT) is a healthcare provider. based in Roselle, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070021091 (IL). The NPI Number for MRS. KIMBERLY A. MCCORMACK (DPT) is 1346639820

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY A. MCCORMACK (DPT)
NPI
1346639820
Phone
(847) 944-1230
Address
975 E NERGE RD
Enumeration Date
21 January 2015
Last Update Date
15 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474379889
Graduation Year
2013 (13 years ago)
PAC ID
8527382670
Group Practice PAC ID
3678502135
Professional Enrollment ID
I20150120000238
Address ID
IL600077324EL901XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MRS. KIMBERLY A. MCCORMACK (DPT)

  • 975 E NERGE RD

    ROSELLE, IL 601724804

    Phone: (847) 944-1230

    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: 2015-01-20

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
I20150120000238IPhysical 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 minutes2,18690$0
97140Therapy procedure using manual technique, each 15 minutes55573$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care51046$0
97162Evaluation for physical therapy, typically 30 minutes8576$0
View full utilization report →

Insurance plans in this area (ZIP 60172)

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Provider's Procedures

MRS. KIMBERLY A. MCCORMACK (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 minutes172391

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: 3678502135View full group profile
NameSpecialtyState
-IL
-IL
Physician AssistantIL
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
-IL
Orthopedic SurgeryIL
Orthopedic SurgeryIL
Occupational Therapist In Private PracticeIL
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

What number should I use to identify MRS. KIMBERLY A. MCCORMACK (DPT) for billing?
Administrative and clinical systems typically use NPI 1346639820 for MRS. KIMBERLY A. MCCORMACK (DPT).
Should I treat MRS. KIMBERLY A. MCCORMACK (DPT) as an active provider?
Patients and plans typically see MRS. KIMBERLY A. MCCORMACK (DPT) as active in the national extract.
What does the directory say MRS. KIMBERLY A. MCCORMACK (DPT) does?
Insurance directories may phrase it differently, but here MRS. KIMBERLY A. MCCORMACK (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MRS. KIMBERLY A. MCCORMACK (DPT) tied to Roselle, Illinois?
If you are local to Roselle, Illinois, MRS. KIMBERLY A. MCCORMACK (DPT) may be relevant to your search.
Can I export MRS. KIMBERLY A. MCCORMACK (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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