JENNIFER A WILSON (PT) – Physical Therapist, NPI 1811098387
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for JENNIFER A WILSON (PT)
1451 Morthland Dr Ste B
Valparaiso, IN 463856360
Phone: (219) 286-3882
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
Kingery Highway, Clarendon Hills, DuPage County, Illinois, 6051, United States
SUITE L6
WILLOWBROOK, IL 605275525
Phone: (630) 455-6630
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: 2018-09-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040923000184 | I | Physical Therapist In Private Practice | IL | TBD |
| I20180918003619 | 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 | 323 | 49 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 167 | 41 | $0 |
| 97530 | Therapy procedure using functional activities | 96 | 32 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 48 | 17 | $0 |
Insurance plans in this area (ZIP 46385)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | IL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1240 | 143 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IN | |
| Occupational Therapist In Private Practice | IL | |
| Orthopedic Surgery | IN | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| Physical Therapist In Private Practice | IN | |
| Occupational Therapist In Private Practice | WI | |
| Nurse Practitioner | IN |
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