TARA BANICK (PT) – Physical Therapist, NPI 1972543171
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for TARA BANICK (PT)
33900 HARPER AVE STE 104
CLINTON TWP, MI 480354258
Phone: (586) 350-2644
Type: Mailing
1757 NORTHWIND BLVD
LIBERTYVILLE, IL 600489617
Phone: (224) 206-0200
Type: Location
900 Rand Rd, 900, East Rand Road, Des Plaines, Cook County, Illinois, 60016, United States
SUITE 300
DES PLAINES, IL 600162359
Phone: (847) 324-3091
Type: Mailing
716, Florsheim Drive, Libertyville, Lake County, Illinois, 60048, United States
LIBERTYVILLE, IL 600483757
Phone: (847) 918-9077
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: 2006-01-31
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 |
|---|---|---|---|---|
| I20060131000835 | I | Physical Therapist In Private Practice | IL | 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 |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 924 | 114 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 798 | 115 | $0 |
| 97530 | Therapy procedure using functional activities | 222 | 59 | $0 |
| 97016 | Application of blood vessel compression device | 77 | 19 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 41 | 39 | $0 |
Insurance plans in this area (ZIP 48035)
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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 | 1163 | 145 |
| PHYSICAL THERAPY | IL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 181 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Sports Medicine, Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL |
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