KATHLEN MMAE DE ASIS (PT) – Physical Therapist, NPI 1922508464

KATHLEN MMAE DE ASIS (PT) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070.023415 (IL). The NPI Number for KATHLEN MMAE DE ASIS (PT) is 1922508464

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEN MMAE DE ASIS (PT)
NPI
1922508464
Phone
(630) 469-9200
Address
PO BOX 713260
Enumeration Date
20 February 2018
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304699200
Graduation Year
2021 (5 years ago)
PAC ID
8628474491
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20210901003125
Address ID
IL601374464GL430XXAVEX300

Contacts

Secure Messaging
kdeasis233583@dulyhealthandcare.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for KATHLEN MMAE DE ASIS (PT)

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • South Briggs Street, Joliet, Will County, Illinois, 60432, United States

    JOLIET, IL 604339591

    Phone:

    Type: Mailing

  • 20201, Crawford Avenue, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States

    OLYMPIA FIELDS, IL 604611010

    Phone: (708) 747-4000

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone: (630) 469-9200

    Type: Mailing

  • 9233 159TH ST

    ORLAND HILLS, IL 604875977

    Phone: (708) 745-5745

    Fax: (708) 226-7196

    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: 2021-09-01

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
I20210901003125IPhysical 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
97530Therapy procedure using functional activities842111$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes650123$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes519115$0
97140Therapy procedure using manual technique, each 15 minutes31788$0
97161Evaluation for physical therapy, typically 20 minutes8276$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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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: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for KATHLEN MMAE DE ASIS (PT)?
Save NPI 1922508464 if you need a stable reference for KATHLEN MMAE DE ASIS (PT).
Is KATHLEN MMAE DE ASIS (PT) active in the national directory?
KATHLEN MMAE DE ASIS (PT)'s public NPI profile is in an active state.
What kind of provider is KATHLEN MMAE DE ASIS (PT)?
The page reflects Physical Therapist for KATHLEN MMAE DE ASIS (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHLEN MMAE DE ASIS (PT)?
The page summarizes Chicago, Illinois for KATHLEN MMAE DE ASIS (PT); expand the address list for detail.
How can I contact KATHLEN MMAE DE ASIS (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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