Kory David Tieman, PT, DPT
NPI 1376168005ActiveIndividual· Physical Therapist· Peru, IL
Physical Therapist (PT, DPT) with City Center Rehabilitation West - Inc. and 1 other group, practicing in Peru, Illinois. Medicare paid $62,560 for services to 165 patients in 2024.
Overview
| NPI | 1376168005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 9, 2020 |
| Last updated in NPPES | Sep 18, 2024 |
| Certified by provider | Sep 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 | 165 |
|---|---|
| Services billed | 3,561 across 11 procedure codes |
| Paid by Medicare | $62,560 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- City Center Rehabilitation West - Inc.Peru, IL · 4 clinicians
- Break Free Physical Therapy PLLCSpringfield, IL · 2 clinicians
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All 28 physical therapists in Peru · All physical therapists in Illinois