EMPOWERME REHABILITATION ILLINOIS, LLC – Geriatric Physical Therapist, NPI 1679098263
Geriatric Physical Therapist
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMPOWERME REHABILITATION ILLINOIS, LLC
4040 Cannonball Trl
Yorkville, IL 605604761
Phone: (630) 296-5663
Type: Location
3450 Village Ln
Granite City, IL 620407704
Phone: (618) 931-3988
Type: Location
1000 Airport Rd
Godfrey, IL 620352929
Phone: (844) 502-7996
Type: Location
211 N Market St
Sparta, IL 622862081
Phone: (314) 925-0880
Type: Location
429 S Main St
Shiloh, IL 622693080
Phone: (844) 502-7996
Type: Location
3333 75th St
Woodridge, IL 605172730
Phone: (314) 925-0880
Type: Location
220 Field Crossing Dr
Highland, IL 622493896
Phone: (314) 925-0880
Type: Location
1207 Vandalia St
Collinsville, IL 622344092
Phone: (844) 502-7996
Type: Location
518 Legacy Dr
Waterloo, IL 622981706
Phone: (314) 925-0880
Type: Location
2225 W Morton Ave
Jacksonville, IL 626502626
Phone: (314) 925-0880
Type: Location
13887 Progress Dr
Breese, IL 622303661
Phone: (844) 502-7996
Type: Location
Hunter Avenue, Clayton, Saint Louis County, Missouri, 63124, United States
SAINT LOUIS, MO 631242328
Phone: (314) 925-0880
Type: Mailing
429, South Main Street, Shiloh, Saint Clair County, Illinois, 62269, United States
SHILOH, IL 622693080
Phone: (314) 925-0880
Type: Location
7108 MARINE RD
EDWARDSVILLE, IL 620254282
Phone: (844) 502-7996
Type: Location
PO BOX 736005
DALLAS, TX 753736005
Phone: (844) 502-7996
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2017-10-20
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 |
|---|---|---|---|---|
| O20171020001353 | O | Physical/Occupational Therapy Group 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60560)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.