DOUGLAS K ELLIOTT (PT) – Physical Therapist, NPI 1699932970

DOUGLAS K ELLIOTT (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070015321 (IL). The NPI Number for DOUGLAS K ELLIOTT (PT) is 1699932970

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS K ELLIOTT (PT)
NPI
1699932970
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
22 May 2008
Last Update Date
18 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168851194
Graduation Year
2006 (20 years ago)
PAC ID
3173696879
Group Practice PAC ID
6204730393
Professional Enrollment ID
I20170725002961
Address ID
MI495258702GR2036XAXXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for DOUGLAS K ELLIOTT (PT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Type: Mailing

  • 426, East 162nd Street, South Holland, Thornton Township, Cook County, Illinois, 60473, United States

    SOUTH HOLLAND, IL 604732258

    Phone: (708) 333-0677

    Fax: (708) 333-1170

    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: 2017-07-25

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
I20170725002961IPhysical Therapist In Private PracticeMITBD

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
97530Therapy procedure using functional activities22015$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17015$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9911$0
97140Therapy procedure using manual technique, each 15 minutes8713$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Provider's Procedures

DOUGLAS K ELLIOTT (PT) 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 THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2258105
PHYSICAL THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes46879

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: 6204730393View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
Occupational Therapist In Private PracticeMI
-MI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

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Frequently asked questions

What unique ID ties claims to DOUGLAS K ELLIOTT (PT)?
NPI 1699932970 is assigned to DOUGLAS K ELLIOTT (PT) under the national enumeration system.
Is DOUGLAS K ELLIOTT (PT) currently active in the NPI registry?
CMS-published data lists DOUGLAS K ELLIOTT (PT) as an active registrant.
What kind of provider is DOUGLAS K ELLIOTT (PT)?
The page reflects Physical Therapist for DOUGLAS K ELLIOTT (PT). Clinical services aligned with this taxonomy classification.
Where does public data place DOUGLAS K ELLIOTT (PT)?
The snapshot lists Bolingbrook, Illinois for DOUGLAS K ELLIOTT (PT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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