EILEEN MARY JOHNSON (DPT, PT) – Physical Therapist, NPI 1407158009

EILEEN MARY JOHNSON (DPT, PT) is a healthcare provider. based in Willow springs, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT. They hold a License No. 070.018068 (IL). The NPI Number for EILEEN MARY JOHNSON (DPT, PT) is 1407158009

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN MARY JOHNSON (DPT, PT)
NPI
1407158009
Phone
(708) 467-0657
Address
8434 CORCORAN RD
Enumeration Date
2 December 2010
Last Update Date
22 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084670657
Graduation Year
2010 (16 years ago)
PAC ID
4880016161
Group Practice PAC ID
6103097522
Professional Enrollment ID
I20200615000187
Address ID
IL604801666WI8434XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for EILEEN MARY JOHNSON (DPT, PT)

  • 8434 CORCORAN RD

    WILLOW SPRINGS, IL 604801666

    Phone: (708) 467-0657

    Type: Location

  • 2211 N Oak Park Ave

    Chicago, IL 607073351

    Phone: (773) 385-5573

    Fax: (773) 385-5851

    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: 2020-06-15

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
I20200615000187IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27121$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes25118$0
97530Therapy procedure using functional activities23620$0
View full utilization report →

Insurance plans in this area (ZIP 60480)

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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: 6103097522View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
-IL

Reviews

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Frequently asked questions

How is EILEEN MARY JOHNSON (DPT, PT) identified in CMS data?
CMS-hosted NPPES data lists EILEEN MARY JOHNSON (DPT, PT) with NPI 1407158009.
Is EILEEN MARY JOHNSON (DPT, PT) still practicing?
EILEEN MARY JOHNSON (DPT, PT) is currently listed as active in the public NPI registry.
What is EILEEN MARY JOHNSON (DPT, PT)'s primary classification?
Physical Therapist is the headline specialty for EILEEN MARY JOHNSON (DPT, PT) here. Clinical services aligned with this taxonomy classification.
What area does EILEEN MARY JOHNSON (DPT, PT) serve?
EILEEN MARY JOHNSON (DPT, PT)'s listing highlights Willow Springs, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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