KURT KOEPPEN (PT) – Physical Therapist, NPI 1366489304

KURT KOEPPEN (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 16073 (CA). The NPI Number for KURT KOEPPEN (PT) is 1366489304

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
KURT KOEPPEN (PT)
NPI
1366489304
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
31 May 2006
Last Update Date
23 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6503234440
Graduation Year
1989 (37 years ago)
PAC ID
8022045608
Group Practice PAC ID
9830182070
Professional Enrollment ID
I20050726000257
Address ID
CA943063508PA3441XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for KURT KOEPPEN (PT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Fax: (630) 759-9510

    Type: Mailing

  • Starbucks, 3441, Alma Street, Stanford Villa Apartment Homes, Palo Alto, Santa Clara County, California, 94306, United States

    SUITE 200

    PALO ALTO, CA 943063506

    Phone: (650) 323-4440

    Fax: (650) 323-4441

    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: 2005-07-26

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
I20050726000257IPhysical Therapist In Private PracticeCATBD

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
97530Therapy procedure using functional activities45743$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes35035$0
97140Therapy procedure using manual technique, each 15 minutes13727$0
97161Evaluation for physical therapy, typically 20 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Provider's Procedures

KURT KOEPPEN (PT) 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 THERAPYCA97001Physical therapy evaluation3433
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes11122

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: 9830182070View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for KURT KOEPPEN (PT) in the U.S.?
In the U.S., KURT KOEPPEN (PT) is identified by NPI 1366489304.
Quick check: is KURT KOEPPEN (PT) active?
Public NPPES data shows KURT KOEPPEN (PT) with an active NPI status right now.
Which specialty label fits KURT KOEPPEN (PT)?
NPPES ties KURT KOEPPEN (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KURT KOEPPEN (PT)?
The directory associates KURT KOEPPEN (PT) with Bolingbrook, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains KURT KOEPPEN (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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