LISA DAWN MCKENNA (PT) – Physical Therapist, NPI 1366671000

LISA DAWN MCKENNA (PT) is a healthcare provider. based in Hines, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070012879 (IL). The NPI Number for LISA DAWN MCKENNA (PT) is 1366671000

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA DAWN MCKENNA (PT)
NPI
1366671000
Phone
(708) 202-2287
Address
5000 S 5TH AVE
Enumeration Date
2 July 2009
Last Update Date
2 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607522673
Graduation Year
1999 (27 years ago)
PAC ID
0042610990
Group Practice PAC ID
3577532290
Professional Enrollment ID
I20210614003038
Address ID
WA982257448BE1514XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for LISA DAWN MCKENNA (PT)

  • Hines Veterans Administration Hospital, 5000, South 5th Avenue, Maywood, Proviso Township, Cook County, Illinois, 60141, United States

    PT DEPARTMENT 117G

    HINES, IL 601413030

    Phone: (708) 202-2287

    Fax: (708) 202-2281

    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: 2021-06-14

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
I20210614003038IPhysical Therapist In Private PracticeWATBD

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 minutes26329$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20930$0
97530Therapy procedure using functional activities18030$0
97140Therapy procedure using manual technique, each 15 minutes7012$0
97163Evaluation for physical therapy, typically 45 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 60141)

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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: 3577532290View full group profile
NameSpecialtyState
-WA
-WA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeGA
-WA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Can I verify LISA DAWN MCKENNA (PT) with an NPI only?
You can start verification with NPI 1366671000 for LISA DAWN MCKENNA (PT), then check state licensing separately.
Is LISA DAWN MCKENNA (PT) still practicing?
LISA DAWN MCKENNA (PT) is currently listed as active in the public NPI registry.
What healthcare role does LISA DAWN MCKENNA (PT) hold?
Scheduling teams often label LISA DAWN MCKENNA (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for LISA DAWN MCKENNA (PT)?
LISA DAWN MCKENNA (PT)'s geographic hint is Hines, Illinois in our summary view.
Is the information about LISA DAWN MCKENNA (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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