JUSTIN BERGMANN – Physical Therapist, NPI 1417374190

JUSTIN BERGMANN is a healthcare provider. based in Orland park, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 070.020007 (IL). The NPI Number for JUSTIN BERGMANN is 1417374190

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN BERGMANN
NPI
1417374190
Phone
Not provided
Address
14640 JOHN HUMPHREY DR
Enumeration Date
19 March 2014
Last Update Date
19 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084035199
Graduation Year
2013 (13 years ago)
PAC ID
8224251277
Group Practice PAC ID
4284985409
Professional Enrollment ID
I20140521000759
Address ID
IL604625852OR14640DRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JUSTIN BERGMANN

  • 14640 JOHN HUMPHREY DR

    ORLAND PARK, IL 604622698

    Phone:

    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: 2014-05-21

PECOS data refreshed: 2026-06-15

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
I20140521000759IPhysical 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 minutes3,589120$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,026117$0
97140Therapy procedure using manual technique, each 15 minutes1,47299$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care1,33196$0
97162Evaluation for physical therapy, typically 30 minutes3027$0
View full utilization report →

Insurance plans in this area (ZIP 60462)

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Provider's Procedures

JUSTIN BERGMANN 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 THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes32026

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: 4284985409View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

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Frequently asked questions

Can I verify JUSTIN BERGMANN with an NPI only?
You can start verification with NPI 1417374190 for JUSTIN BERGMANN, then check state licensing separately.
Is JUSTIN BERGMANN still practicing?
JUSTIN BERGMANN is currently listed as active in the public NPI registry.
What healthcare role does JUSTIN BERGMANN hold?
Scheduling teams often label JUSTIN BERGMANN under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for JUSTIN BERGMANN?
JUSTIN BERGMANN's geographic hint is Orland Park, Illinois in our summary view.
Why does JUSTIN BERGMANN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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