GARY D VANDE KAMP (PT) – Physical Therapist, NPI 1871589820

GARY D VANDE KAMP (PT) is a healthcare provider. based in Morrison, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 00183 (IA). The NPI Number for GARY D VANDE KAMP (PT) is 1871589820

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
GARY D VANDE KAMP (PT)
NPI
1871589820
Phone
(815) 772-7274
Address
635 E LINCOLNWAY
Enumeration Date
26 September 2005
Last Update Date
12 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5632438321
Graduation Year
1967 (59 years ago)
PAC ID
6305735671
Group Practice PAC ID
9638087877
Professional Enrollment ID
I20111103000558
Address ID
IA527327229CL2635XCXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for GARY D VANDE KAMP (PT)

  • 635, East Lincolnway, Morrison, Whiteside County, Illinois, 61270, United States

    MORRISON, IL 612702963

    Phone: (815) 772-7274

    Fax: (815) 772-4590

    Type: Location

  • 850, 43rd Avenue, Moline, Rock Island County, Illinois, 61265, United States

    SUITE 100

    MOLINE, IL 612658401

    Phone: (309) 743-2070

    Fax: (309) 743-2073

    Type: Mailing

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: 2011-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050706000105IPhysical Therapist In Private PracticeILTBD
I20111103000558IPhysical Therapist In Private PracticeIATBD

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 minutes42085$0
97113Therapy procedure using water pool to exercises, each 15 minutes41415$0
97530Therapy procedure using functional activities14142$0
97140Therapy procedure using manual technique, each 15 minutes11154$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8623$0
View full utilization report →

Insurance plans in this area (ZIP 61270)

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Provider's Procedures

GARY D VANDE KAMP (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 THERAPYIL97001Physical therapy evaluation3535
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes573137
PHYSICAL THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes24888

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: 9638087877View full group profile
NameSpecialtyState
-IA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

How do payers reference GARY D VANDE KAMP (PT)?
For GARY D VANDE KAMP (PT), use NPI 1871589820 as the unique 10-digit identifier.
Is GARY D VANDE KAMP (PT) still an active registrant?
GARY D VANDE KAMP (PT) carries an active NPI according to the public dataset.
What expertise is attributed to GARY D VANDE KAMP (PT)?
GARY D VANDE KAMP (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GARY D VANDE KAMP (PT)?
Travel planning: use Morrison, Illinois as the reference point for GARY D VANDE KAMP (PT), then confirm.
Can I trust this NPI listing for GARY D VANDE KAMP (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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