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Active NPI 1700859428 Individual Practitioner Male Practitioner

Hemal Modi , PT

Physical Therapist • Des Plaines, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Hemal Modi, PT is a certified Physical Therapist practicing in Des Plaines, IL. With approximately 27 years of clinical experience since completing medical education in 1999, Hemal Modi delivers high-quality medical care to the local community at 9301 GOLF RD.

Hemal Modi is affiliated with Optimum Physical Therapy, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using functional activities. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9301 Golf Rd

Des Plaines, IL 600161667

Telephone 1847391972
Fax 7737673944
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Des Plaines, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +8.7 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
76 Specialists

Practicing in Des Plaines, IL (12173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modi (27 Years) 27 Yrs
Des Plaines Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
2,380 156 $60.00 $21.22
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
970 121 $60.00 $25.09
97530 Therapy procedure using functional activities
813 106 $75.00 $32.64
97140 Therapy procedure using manual technique, each 15 minutes
325 34 $60.00 $20.44
97164 Re-evaluation for physical therapy, typically 20 minutes
62 49 $75.00 $70.20
97161 Evaluation of physical therapy, typically 20 minutes
50 48 $105.00 $101.27
97535 Training for self-care or home management, each 15 minutes
49 36 $50.00 $25.95
97162 Evaluation for physical therapy, typically 30 minutes
35 35 $130.00 $101.11

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IL 070011869

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc/bs Provider #
01635425 (IL)

Hospital & Practice Group Affiliations

Optimum Physical Therapy, Inc.

9301 Golf Rd, Des Plaines, IL 600161687

Phone: 8473919720

Optimum Physical Therapy, Inc.

9301 Golf Rd, Des Plaines, IL 600161687

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1093719569

Doctor of Medicine (M.D.)

NPI 1255561858

Doctor of Chiropractic

NPI 1295709681

Doctor of Chiropractic

NPI 1487956306

Doctor of Chiropractic

Snehal Mehta , PT

Physical Therapist

NPI 1578537965

Physical Therapist

NPI 1730153917

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2010

Registered at 9301 GOLF RD, DES PLAINES, IL 600161667 (Tel: 1847391972)

📍
Updated Business Mailing Address March 26, 2010

Registered at 9301 GOLF RD, DES PLAINES, IL 600161667 (Tel: 1847391972)

👤
Provider Name / Credentials Updated March 26, 2010

Recorded as HEMAL MODI, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2010

Physical Therapist (License #070011869 in IL)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700859428
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: March 26, 2010
Sole Proprietor: No

Mailing Address

9301 Golf Rd

Des Plaines, IL 600161667

Phone: 1847391972

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.