BENJAMIN PIECZYNSKI (DPT) – Physical Therapist, NPI 1396625265

BENJAMIN PIECZYNSKI (DPT) is a healthcare provider. based in La grange, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070.029448 (IL). The NPI Number for BENJAMIN PIECZYNSKI (DPT) is 1396625265

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BENJAMIN PIECZYNSKI (DPT)
NPI
1396625265
Phone
(630) 866-1074
Address
64 BASSFORD AVE
Enumeration Date
3 September 2025
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308661074
Graduation Year
2025 (1 year ago)
PAC ID
0345744157
Group Practice PAC ID
4082847041
Professional Enrollment ID
I20250916001841
Address ID
IL605141179CL229XXAVEX300
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 BENJAMIN PIECZYNSKI (DPT)

  • 64 BASSFORD AVE

    LA GRANGE, IL 605255814

    Phone: (630) 866-1074

    Type: Mailing

  • 229 BURLINGTON AVE

    CLARENDON HILLS, IL 605141179

    Phone: (630) 866-1074

    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: 2025-09-16

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
I20250916001841IPhysical 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 60525)

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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: 4082847041View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
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

Where can patients find BENJAMIN PIECZYNSKI (DPT)'s NPI?
You can confirm BENJAMIN PIECZYNSKI (DPT) with NPI 1396625265; it appears in the national provider directory.
Is BENJAMIN PIECZYNSKI (DPT) currently active in the NPI registry?
CMS-published data lists BENJAMIN PIECZYNSKI (DPT) as an active registrant.
What does BENJAMIN PIECZYNSKI (DPT) treat or focus on?
Patients typically see BENJAMIN PIECZYNSKI (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for BENJAMIN PIECZYNSKI (DPT)?
We surface La Grange, Illinois for BENJAMIN PIECZYNSKI (DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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