JEFF KIERMAS (PT) – Physical Therapist, NPI 1689421323

JEFF KIERMAS (PT) is a healthcare provider. based in Lake in the hills, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials PT. The NPI Number for JEFF KIERMAS (PT) is 1689421323

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JEFF KIERMAS (PT)
NPI
1689421323
Phone
(847) 766-0011
Address
700 E OAK ST
Enumeration Date
1 May 2024
Last Update Date
1 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477660011
Graduation Year
1990 (36 years ago)
PAC ID
3274075601
Group Practice PAC ID
1052774460
Professional Enrollment ID
I20240612003577
Address ID
IL601566176LA700XXSTRE401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

596 PHYSICAL MEDICINE AND REHABILITATION in IL

Provider Addresses for JEFF KIERMAS (PT)

  • 700 E OAK ST

    LAKE IN THE HILLS, IL 601566176

    Phone: (847) 766-0011

    Fax: (847) 999-6722

    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: 2024-06-12

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
I20240612003577IPhysical Medicine And RehabilitationILTBD

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 60156)

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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: 1052774460View full group profile
NameSpecialtyState
Qualified Speech Language PathologistIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Qualified Speech Language PathologistIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Does JEFF KIERMAS (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JEFF KIERMAS (PT) uses 1689421323.
Does CMS list JEFF KIERMAS (PT) as active?
Yes — JEFF KIERMAS (PT) is active in the NPI listing used on this page.
What healthcare role does JEFF KIERMAS (PT) hold?
Scheduling teams often label JEFF KIERMAS (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does JEFF KIERMAS (PT) serve?
JEFF KIERMAS (PT)'s listing highlights Lake In The Hills, Illinois; more addresses can appear in NPPES.
Why does JEFF KIERMAS (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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