Unknown Individual – Physical Therapist, NPI 1912239732

Unknown Individual is a healthcare provider. based in Mokena, Illinois. specializing in Physical Therapist. They hold a License No. 070010199 (IL). The NPI Number for Unknown Individual is 1912239732

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912239732
Phone
(708) 906-7565
Address
9789 CAMBRIDGE CIR
Deactivation Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7145802868
Graduation Year
1996 (30 years ago)
PAC ID
8224222625
Group Practice PAC ID
2466515358
Professional Enrollment ID
I20180126000588
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 9789, Cambridge Circle, Mokena, Will County, Illinois, 60448, United States

    MOKENA, IL 604487723

    Phone: (708) 906-7565

    Fax: (708) 995-5679

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes2,54625$0
97530Therapy procedure using functional activities1,06619$0
97140Therapy procedure using manual technique, each 15 minutes97516$0
View full utilization report →

Insurance plans in this area (ZIP 60448)

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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: 2466515358View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1912239732 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Mokena, Illinois?
If you are local to Mokena, Illinois, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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