MISS JENNIFER JO GIDLEY (MPT) – Physical Therapist, NPI 1730131152

MISS JENNIFER JO GIDLEY (MPT) is a healthcare provider. based in Mount vernon, Illinois. specializing in Physical Therapist. They hold the professional credentials MPT. They hold a License No. 070-010487 (IL). The NPI Number for MISS JENNIFER JO GIDLEY (MPT) is 1730131152

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MISS JENNIFER JO GIDLEY (MPT)
NPI
1730131152
Phone
(618) 242-8887
Address
4121 VETERANS MEMORIAL DR
Enumeration Date
16 May 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182423778
Graduation Year
1995 (31 years ago)
PAC ID
6901833649
Group Practice PAC ID
6901705441
Professional Enrollment ID
I20050725000356
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MISS JENNIFER JO GIDLEY (MPT)

  • Orthopaedic Center of Southern Illinois, 4121, Veterans Memorial Drive, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 628646262

    Phone: (618) 242-8887

    Fax: (618) 242-2551

    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: 2005-07-25

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
I20050725000356IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,057216$0
97140Therapy procedure using manual technique, each 15 minutes35388$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17461$0
97161Evaluation for physical therapy, typically 20 minutes9391$0
97035Application of ultrasound, each 15 minutes8034$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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Provider's Procedures

MISS JENNIFER JO GIDLEY (MPT) performs procedures in Physical Therapist. 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 minutes688171

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: 6901705441View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Hand Surgery, Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
Physician AssistantIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I cross-check MISS JENNIFER JO GIDLEY (MPT) using NPI 1730131152?
NPI 1730131152 belongs to MISS JENNIFER JO GIDLEY (MPT); compare other details if you need extra assurance.
Is MISS JENNIFER JO GIDLEY (MPT) still an active registrant?
MISS JENNIFER JO GIDLEY (MPT) carries an active NPI according to the public dataset.
What kind of doctor is MISS JENNIFER JO GIDLEY (MPT)?
MISS JENNIFER JO GIDLEY (MPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MISS JENNIFER JO GIDLEY (MPT) associated with Mount Vernon?
Public fields place MISS JENNIFER JO GIDLEY (MPT) around Mount Vernon, Illinois. Always confirm the exact site before visiting.
Does MISS JENNIFER JO GIDLEY (MPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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