NICOLE JOSEPHINE BREISCH (PT) – Physical Therapist, NPI 1730436080

NICOLE JOSEPHINE BREISCH (PT) is a healthcare provider. based in Arlington heights, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070016968 (IL). The NPI Number for NICOLE JOSEPHINE BREISCH (PT) is 1730436080

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE JOSEPHINE BREISCH (PT)
NPI
1730436080
Phone
Not provided
Address
147 W RAND RD
Enumeration Date
6 August 2012
Last Update Date
29 June 2020

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8477494509
Graduation Year
2008 (18 years ago)
PAC ID
0547684920
Group Practice PAC ID
0840240768
Professional Enrollment ID
I20200717001084
Address ID
IL600043142AR147XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for NICOLE JOSEPHINE BREISCH (PT)

  • 147 W RAND RD

    ARLINGTON HEIGHTS, IL 600043142

    Phone:

    Type: Mailing

  • 7435 W Talcott Ave

    Chicago, IL 606313707

    Phone: (773) 774-8000

    Fax: (773) 990-7788

    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: 2020-07-17

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
I20200717001084IPhysical 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 minutes87630$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes70529$0
97530Therapy procedure using functional activities1915$0
97161Evaluation for physical therapy, typically 20 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 60004)

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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: 0840240768View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What number should I use to identify NICOLE JOSEPHINE BREISCH (PT) for billing?
Administrative and clinical systems typically use NPI 1730436080 for NICOLE JOSEPHINE BREISCH (PT).
Does the public listing show NICOLE JOSEPHINE BREISCH (PT) as active?
NICOLE JOSEPHINE BREISCH (PT)'s NPI record reflects an active status in NPPES.
What does the directory say NICOLE JOSEPHINE BREISCH (PT) does?
Insurance directories may phrase it differently, but here NICOLE JOSEPHINE BREISCH (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is NICOLE JOSEPHINE BREISCH (PT) tied to Arlington Heights, Illinois?
If you are local to Arlington Heights, Illinois, NICOLE JOSEPHINE BREISCH (PT) may be relevant to your search.
Can I export NICOLE JOSEPHINE BREISCH (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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