VICTORIA WHITHAM (DPT) – Physical Therapist, NPI 1174180863
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX
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Provider Addresses for VICTORIA WHITHAM (DPT)
Forest Lane, Dallas, Dallas County, Texas, 75234:75244, United States
DALLAS, TX 752302703
Phone: (972) 979-6577
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2223
Fax: (630) 759-9510
Type: Mailing
3055 BARDIN RD STE 200
GRAND PRAIRIE, TX 750523819
Phone: (972) 522-2200
Fax: (972) 499-7923
Type: Mailing
3055 BARDIN RD
GRAND PRAIRIE, TX 750523816
Phone: (972) 695-8077
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: 2019-08-12
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 |
|---|---|---|---|---|
| I20190812000234 | I | Physical Therapist In Private Practice | TX | 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 | 151 | 11 | $0 |
Insurance plans in this area (ZIP 75230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | LA | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX |
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