Kimberly A. McCormack, DPT
NPI 1346639820ActiveIndividual· Physical Therapist· Roselle, IL
Physical Therapist (DPT) with Midwest Sports Medicine and Orthopaedic Surgical Specialists, Ltd., practicing in Roselle, Illinois. Medicare paid $53,059 for services to 110 patients in 2024.
Overview
| NPI | 1346639820 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jan 21, 2015 |
| Last updated in NPPES | Mar 15, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070021091 | 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 | 110 |
|---|---|
| Services billed | 3,152 across 6 procedure codes |
| Paid by Medicare | $53,059 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Midwest Sports Medicine and Orthopaedic Surgical Specialists, Ltd.Elk Grove Village, IL · 10 clinicians
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All 18 physical therapists in Roselle · All physical therapists in Illinois