JILL VONDERHAAR NADER (PT) – Physical Therapist, NPI 1205467289

JILL VONDERHAAR NADER (PT) is a healthcare provider. based in Mason, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT-007528 (KY). The NPI Number for JILL VONDERHAAR NADER (PT) is 1205467289

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
JILL VONDERHAAR NADER (PT)
NPI
1205467289
Phone
(513) 701-6104
Address
7567 CENTRAL PARKE BLVD STE A
Enumeration Date
29 January 2020
Last Update Date
29 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144478511
Graduation Year
1994 (32 years ago)
PAC ID
7214432434
Group Practice PAC ID
1759668643
Professional Enrollment ID
I20250926002170
Address ID
KY41011XXXXCOXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for JILL VONDERHAAR NADER (PT)

  • 7567 CENTRAL PARKE BLVD STE A

    MASON, OH 450406855

    Phone: (513) 701-6104

    Fax: (513) 770-5412

    Type: Mailing

  • 350 THOMAS MORE PKWY STE 130

    CRESTVIEW HILLS, KY 410175119

    Phone: (859) 578-7000

    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: 2025-09-26

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
I20250926002170IPhysical Therapist In Private PracticeKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45040)

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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: 1759668643View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
-MO
Occupational Therapist In Private PracticeMO
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MO

Reviews

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Frequently asked questions

Is there an official ID for JILL VONDERHAAR NADER (PT) in U.S. healthcare records?
The official identifier for JILL VONDERHAAR NADER (PT) is NPI 1205467289.
Would JILL VONDERHAAR NADER (PT) appear as active to a payer?
You can treat JILL VONDERHAAR NADER (PT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JILL VONDERHAAR NADER (PT)?
At a glance, JILL VONDERHAAR NADER (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Ohio is JILL VONDERHAAR NADER (PT) registered?
Use Mason, Ohio as the headline location for JILL VONDERHAAR NADER (PT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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