BETHANY LOCICERO (DPT) – Physical Therapist, NPI 1508215294

BETHANY LOCICERO (DPT) is a healthcare provider. based in Oak brook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070022590 (IL). The NPI Number for BETHANY LOCICERO (DPT) is 1508215294

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY LOCICERO (DPT)
NPI
1508215294
Phone
(630) 575-6200
Address
625 ENTERPRISE DR
Enumeration Date
3 June 2016
Last Update Date
26 August 2016

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7085053900
Graduation Year
2016 (10 years ago)
PAC ID
4082900675
Group Practice PAC ID
4082847041
Professional Enrollment ID
I20160908000090
Address ID
IL605581439WE814XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for BETHANY LOCICERO (DPT)

  • 625, Enterprise Drive, Oak Brook, DuPage County, Illinois, 60523, United States

    OAK BROOK, IL 605238813

    Phone: (630) 575-6200

    Fax: (630) 928-5040

    Type: Mailing

  • Athletico Sports Rehab, 4078-4080, North Milwaukee Avenue, Portage Park, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States

    CHICAGO, IL 606411831

    Phone: (773) 545-1153

    Fax: (773) 545-1568

    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: 2016-09-08

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
I20160908000090IPhysical 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 minutes28727$0
97530Therapy procedure using functional activities27927$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18824$0
97140Therapy procedure using manual technique, each 15 minutes17623$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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Provider's Procedures

BETHANY LOCICERO (DPT) 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 THERAPYIL97001Physical therapy evaluation1111

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

What is BETHANY LOCICERO (DPT)'s NPI number?
BETHANY LOCICERO (DPT)'s NPI is 1508215294 — the number used across U.S. healthcare to identify this provider.
Is there an active status for BETHANY LOCICERO (DPT)?
For scheduling context, BETHANY LOCICERO (DPT) is shown as active in the registry.
What clinical focus is listed for BETHANY LOCICERO (DPT)?
At a glance, BETHANY LOCICERO (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is BETHANY LOCICERO (DPT) located near Oak Brook?
BETHANY LOCICERO (DPT) currently maps to Oak Brook, Illinois in this extract.
When was this NPI issued?
Enumeration for BETHANY LOCICERO (DPT) is noted as June 3, 2016 where the registry provides it.

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