JESSICA BOBLAK (PT, DPT) – Physical Therapist, NPI 1639946734

JESSICA BOBLAK (PT, DPT) is a healthcare provider. based in Westmont, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 070027824 (IL). The NPI Number for JESSICA BOBLAK (PT, DPT) is 1639946734

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA BOBLAK (PT, DPT)
NPI
1639946734
Phone
(708) 590-6663
Address
PO BOX 220
Enumeration Date
8 December 2023
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309268889
Graduation Year
2023 (3 years ago)
PAC ID
1557710415
Group Practice PAC ID
2769863323
Professional Enrollment ID
I20231218002455
Address ID
IL604231900FR20500RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JESSICA BOBLAK (PT, DPT)

  • PO BOX 220

    WESTMONT, IL 605590220

    Phone: (708) 590-6663

    Fax: (708) 469-4100

    Type: Mailing

  • 15441 S 94TH AVE

    ORLAND PARK, IL 604623827

    Phone: (708) 981-3715

    Fax: (708) 315-7087

    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: 2023-12-18

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
I20231218002455IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60559)

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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: 2769863323View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How is JESSICA BOBLAK (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists JESSICA BOBLAK (PT, DPT) with NPI 1639946734.
Does the file indicate JESSICA BOBLAK (PT, DPT) is practicing under active NPI?
Directory data currently reports JESSICA BOBLAK (PT, DPT) as active.
What is JESSICA BOBLAK (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for JESSICA BOBLAK (PT, DPT) here. Clinical services aligned with this taxonomy classification.
Where is JESSICA BOBLAK (PT, DPT) based?
JESSICA BOBLAK (PT, DPT) is tied to Westmont, 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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