MR. JON ANTHONY DESMARAIS (P.T.) – Physical Therapist, NPI 1619953221

MR. JON ANTHONY DESMARAIS (P.T.) is a healthcare provider. based in South bend, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 05006317A (IN). The NPI Number for MR. JON ANTHONY DESMARAIS (P.T.) is 1619953221

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JON ANTHONY DESMARAIS (P.T.)
NPI
1619953221
Phone
(574) 234-1059
Address
401 E COLFAX AVE
Enumeration Date
16 December 2005
Last Update Date
5 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742341059
Graduation Year
1998 (28 years ago)
PAC ID
5890933246
Group Practice PAC ID
5092624510
Professional Enrollment ID
I20210111000902
Address ID
IN466173044SO300XXBLVD505
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

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

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Provider Addresses for MR. JON ANTHONY DESMARAIS (P.T.)

  • The Commerce Center, 401, East Colfax Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    STE. 102

    SOUTH BEND, IN 466172737

    Phone: (574) 234-1059

    Fax: (574) 234-1068

    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: 2021-01-11

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
I20210111000902IPhysical Therapist In Private PracticeINTBD

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 activities1,18656$0
97140Therapy procedure using manual technique, each 15 minutes79552$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40753$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39133$0
97150Therapy procedure in a group setting10338$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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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: 5092624510View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
H E M A T O L O G Y/ O N C O L O G YIN
Physical Therapist In Private PracticeIL
Pain Management, AnesthesiologyIL
Neurology, Sleep MedicineIN
Physical Therapist In Private PracticeIL
Orthopedic SurgeryIN
Physical Therapist In Private PracticeIL
Internal MedicineMI
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. JON ANTHONY DESMARAIS (P.T.)?
MR. JON ANTHONY DESMARAIS (P.T.) — NPI 1619953221 — is the standard way to identify this listing.
Can I rely on MR. JON ANTHONY DESMARAIS (P.T.) being an active provider?
As of the registry snapshot, MR. JON ANTHONY DESMARAIS (P.T.) is marked active.
What is MR. JON ANTHONY DESMARAIS (P.T.) best known for clinically?
Directory data describes MR. JON ANTHONY DESMARAIS (P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MR. JON ANTHONY DESMARAIS (P.T.) serve?
MR. JON ANTHONY DESMARAIS (P.T.)'s listing highlights South Bend, Indiana; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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