Unknown Individual – Physical Therapist, NPI 1548392772

Unknown Individual is a healthcare provider. based in Bensenville, Illinois. specializing in Physical Therapist. They hold a License No. 12739692 (IL). The NPI Number for Unknown Individual is 1548392772

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548392772
Phone
(630) 350-2736
Address
143 BERNICE DR
Deactivation Date
6 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
1254529019
Professional Enrollment ID
I20101220001131
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 143 BERNICE DR

    BENSENVILLE, IL 601063366

    Phone: (630) 350-2736

    Fax: (630) 350-2842

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 minutes25731$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24729$0
97140Therapy procedure using manual technique, each 15 minutes15023$0
97150Therapy procedure in a group setting6715$0
97530Therapy procedure using functional activities6618$0
View full utilization report →

Insurance plans in this area (ZIP 60106)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97001Physical therapy evaluation1311
PHYSICAL THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes13512

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1548392772 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Bensenville, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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