Unknown Individual – Physical Therapist, NPI 1679583926

Unknown Individual is a healthcare provider. based in Schaumburg, Illinois. specializing in Physical Therapist. They hold a License No. 070-010817 (IL). The NPI Number for Unknown Individual is 1679583926

Main info

Organization
Inactive
28 Years Of Experience
Name
Unknown Individual
NPI
1679583926
Phone
(630) 285-8007
Address
1000 E STATE PKWY
Deactivation Date
27 October 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6303711623
Graduation Year
1998 (28 years ago)
PAC ID
2769492719
Group Practice PAC ID
6507129673
Professional Enrollment ID
I20060504000517
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

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Provider Addresses for Unknown Individual

  • 1000, East State Parkway, Schaumburg Industrial Park, Schaumburg, Schaumburg Township, Cook County, Illinois, 60173, United States

    SUITE E

    SCHAUMBURG, IL 601734569

    Phone: (630) 285-8007

    Fax: (630) 285-8017

    Type: Mailing

  • Jack A. Claes Pavilion, 1000, Wellington Avenue, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States

    2ND FLOOR

    ELK GROVE VILLAGE, IL 600077332

    Phone: (847) 437-7070

    Fax: (847) 437-1080

    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.

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

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 60173)

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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 evaluation3131
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes499107

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: 6507129673View full group profile
NameSpecialtyState
KIMBERLY MARTINEZ
Physical Therapist In Private PracticeIL
TAYLOR MOWAT BYERS (PT)
Physical Therapist In Private PracticeIL
DR. KATHERINE WEYANDT (DPT)
Physical Therapist In Private PracticeIL
MICHELINE MENNECKE (PHYSICAL THERAPIST)
Physical Therapist In Private PracticeKY
BRANDI HOSFORD (PT,DPT)
Physical Therapist In Private PracticeIL
HAYLEY CHARLTON
-IL
GINA PONGETTI ANGELETTI (MPT)
Physical Therapist In Private PracticeIL
MADISON PODJASEK (DPT)
Physical Therapist In Private PracticeIL
TRAVIS J SPAGNOLA
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1679583926 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Schaumburg, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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