AMY GUILLAUME (DPT, CSCS) – Physical Therapist, NPI 1649254624
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
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Provider Addresses for AMY GUILLAUME (DPT, CSCS)
East Indiana Street, Evansville, Vanderburgh County, Indiana, 47711, United States
STE. 102
EVANSVILLE, IN 477152794
Phone: (812) 476-0409
Fax: (812) 476-1016
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: 2004-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040709000702 | I | Physical Therapist In Private Practice | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 326 | 23 | $0 |
| 97530 | Therapy procedure using functional activities | 233 | 23 | $0 |
| 97116 | Therapy procedure for walking training, each 15 minutes | 137 | 20 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 97 | 18 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 47715)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Speech Language Pathologist | IN | |
| Occupational Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IN | |
| Occupational Therapist In Private Practice | IN | |
| Occupational Therapist In Private Practice | IN | |
| Qualified Speech Language Pathologist | IN | |
| Occupational Therapist In Private Practice | IN |
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