MICHELINE MENNECKE (PHYSICAL THERAPIST) – Physical Therapist, NPI 1316117351

MICHELINE MENNECKE (PHYSICAL THERAPIST) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. The NPI Number for MICHELINE MENNECKE (PHYSICAL THERAPIST) is 1316117351

Main info

Female
29 Years Of Experience
Name
MICHELINE MENNECKE (PHYSICAL THERAPIST)
NPI
1316117351
Phone
(800) 866-0860
Address
9901 LINN STATION RD
Enumeration Date
5 March 2008
Last Update Date
5 March 2008

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7084031155
Graduation Year
1997 (29 years ago)
PAC ID
5799925343
Group Practice PAC ID
6507129673
Professional Enrollment ID
I20130703000079
Address ID
IL604875902OR9121XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MICHELINE MENNECKE (PHYSICAL THERAPIST)

  • 9901 LINN STATION RD

    LOUISVILLE, KY 402233808

    Phone: (800) 866-0860

    Type: Mailing

  • 1040, Robey Avenue, Valley View Estates, Downers Grove, DuPage County, Illinois, 60516, United States

    DOWNERS GROVE, IL 605163445

    Phone: (630) 969-9188

    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: 2013-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1045 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20130703000079IPhysical Therapist In Private PracticeIL2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23716$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15317$0
97140Therapy procedure using manual technique, each 15 minutes11417$0
View full utilization report →

Insurance plans in this area (ZIP 40223)

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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: 6507129673View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How do payers reference MICHELINE MENNECKE (PHYSICAL THERAPIST)?
For MICHELINE MENNECKE (PHYSICAL THERAPIST), use NPI 1316117351 as the unique 10-digit identifier.
Active or inactive — what applies to MICHELINE MENNECKE (PHYSICAL THERAPIST)?
You should see MICHELINE MENNECKE (PHYSICAL THERAPIST) as active in CMS-hosted NPPES data.
What area of care is associated with MICHELINE MENNECKE (PHYSICAL THERAPIST)?
MICHELINE MENNECKE (PHYSICAL THERAPIST)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHELINE MENNECKE (PHYSICAL THERAPIST)?
Travel planning: use Louisville, Kentucky as the reference point for MICHELINE MENNECKE (PHYSICAL THERAPIST), then confirm.
When was this NPI issued?
Enumeration for MICHELINE MENNECKE (PHYSICAL THERAPIST) is noted as March 5, 2008 where the registry provides it.

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