Kathleen A. Clark, PT
NPI 1174515829ActiveIndividual· Physical Therapist· Geneva, IL
Physical Therapist (PT) in Geneva, Illinois, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 1999). Medicare paid $27,094 for services to 32 patients in 2024.
Overview
| NPI | 1174515829 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 18, 2005 |
| Last updated in NPPES | Feb 5, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070011591 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 1,263 across 8 procedure codes |
| Paid by Medicare | $27,094 |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Attentive Individualized Management Physical Therapy, LLCBatavia, IL · 10 clinicians
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