MARY AUBRY (DPT) – Physical Therapist, NPI 1417619107

MARY AUBRY (DPT) is a healthcare provider. based in Normal, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070022039 (IL). The NPI Number for MARY AUBRY (DPT) is 1417619107

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARY AUBRY (DPT)
NPI
1417619107
Phone
Not provided
Address
211 LANDMARK DR STE E3
Enumeration Date
10 October 2021
Last Update Date
23 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096634900
Graduation Year
2015 (11 years ago)
PAC ID
4082009550
Group Practice PAC ID
7618072497
Professional Enrollment ID
I20220318001946
Address ID
IL617616165NO211XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MARY AUBRY (DPT)

  • 211 LANDMARK DR STE E3

    NORMAL, IL 617616165

    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: 2022-03-18

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
I20220318001946IPhysical 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 minutes56571$0
97530Therapy procedure using functional activities37764$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20864$0
97140Therapy procedure using manual technique, each 15 minutes9728$0
97750Test or measurement for functional capacity, each 15 minutes9015$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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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: 7618072497View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL
Qualified AudiologistIL

Reviews

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Frequently asked questions

What NPI should I save for MARY AUBRY (DPT)?
Save NPI 1417619107 if you need a stable reference for MARY AUBRY (DPT).
Is MARY AUBRY (DPT)'s NPI currently valid?
The extract we use shows MARY AUBRY (DPT) as active.
Does MARY AUBRY (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MARY AUBRY (DPT). Clinical services aligned with this taxonomy classification.
Where does public data place MARY AUBRY (DPT)?
The snapshot lists Normal, Illinois for MARY AUBRY (DPT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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