Doctors of Physical Therapy – Physical Therapist, NPI 1689648602
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Doctors of Physical Therapy
5929 N Cicero Ave
Chicago, IL 606465701
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Location
24014 W RENWICK RD STE 206
PLAINFIELD, IL 605448711
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Mailing
24014 W RENWICK RD UNIT 206
PLAINFIELD, IL 605448711
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Location
24014 W RENWICK RD STE F
PLAINFIELD, IL 605448708
Phone: (800) 974-4378
Fax: (630) 515-1536
Type: Mailing
2547, Plainfield Naperville Road, Naperville, Will County, Illinois, 60564, United States
SUITE 152
NAPERVILLE, IL 605648909
Phone: (800) 974-4378
Fax: (630) 515-1536
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: 2025-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1043 days ago).
Enrollment records
10
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20061003000259 | O | Clinic/Group Practice | IL | TBD |
| O20100708000581 | O | Clinic/Group Practice | WI | 2023-07-31 |
| O20160930000485 | O | Physical/Occupational Therapy Group In Private Practice | MI | 2023-09-30 |
| O20220906001612 | O | Clinic/Group Practice | IA | TBD |
| O20230801003500 | O | Physical/Occupational Therapy Group In Private Practice | KS | TBD |
| O20230919001715 | O | Physical/Occupational Therapy Group In Private Practice | NE | TBD |
| O20250814000308 | O | Clinic/Group Practice | TX | TBD |
| O20250818000487 | O | Clinic/Group Practice | LA | TBD |
| O20250915000583 | O | Clinic/Group Practice | CA | TBD |
| O20250922003680 | O | Clinic/Group Practice | AZ | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60646)
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