PREMIER PHYSICAL THERAPY PC – Physical Therapist, NPI 1336127117
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PREMIER PHYSICAL THERAPY PC
570 VILLAGE CENTER DR STE 205
BURR RIDGE, IL 605274526
Phone: (630) 920-4670
Fax: (630) 920-4687
Type: Mailing
West 95th Street, Beverly, Evergreen Park, Lake Township, Cook County, Illinois, 606, United States
EVERGREEN PARK, IL 60805
Phone: (630) 920-4670
Fax: (630) 920-4687
Type: Location
Burr Ridge Parkway, Burr Ridge, Lyons Township, Cook County, Illinois, 60521, United States
BURR RIDGE, IL 605270845
Phone: (630) 920-4670
Fax: (630) 920-4687
Type: Mailing
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: 2007-01-30
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 |
|---|---|---|---|---|
| O20041116000422 | O | Clinic/Group Practice | IL | TBD |
| O20070130000674 | O | Physical/Occupational Therapy Group 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60527)
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