KSENIA MACK PT, DPT
NPI 1033817747
Physical Therapist in Chicago, IL

Active since February 21, 2023Accepts Medicare Assignment
4657 N LINCOLN AVE, CHICAGO, IL 60625(773) 989-6472 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2025, Apr 16, 2023, Feb 27, 2023 and 1 more (4 updates tracked since 2023).

About Ksenia Mack Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSENIA MACK PT, DPT (NPI 1033817747) is an individual physical therapist in Chicago, Illinois, licensed in Illinois (070.027296) and active in the NPI registry since February 2023. She maintains a secondary practice location in Chicago and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033817747
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKSENIA MACKCredential: PT, DPT
Location Address4657 N LINCOLN AVEChicago, IL 60625-2024
Mailing Address2028 N Burling St Apt 309Chicago, IL 60614-4434 · (847) 420-6249
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 21, 2023
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1033817747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in IL · 070.027296
Definition

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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
4657 N LINCOLN AVE, Chicago, IL 60625

Secondary Practice Location 1

Location 11320 W Fullerton AveChicago, IL 60614-2129 · Phone (773) 770-2419

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ksenia Mack Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072970763
PECOS Enrollment IDI20230612002822

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
266 services28 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
189 services22 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
182 services28 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
111 services24 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
105 services17 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
73 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation)
4657 N LINCOLN AVE
CHICAGO, IL 60625
Physical Therapist (Orthopedic)
4657 N LINCOLN AVE
CHICAGO, IL 60625
Physical Therapist
4657 N LINCOLN AVE
CHICAGO, IL 60625
Physical Therapist
4657 N LINCOLN AVE
CHICAGO, IL 60625
Clinic/Center (Physical Therapy)
4657 N LINCOLN AVE
CHICAGO, IL 60625
Physical Therapist
4657 N LINCOLN AVE
CHICAGO, IL 60625
Physical Therapist
4657 N LINCOLN AVE
CHICAGO, IL 60625
Clinic/Center (Physical Therapy)
4657 N LINCOLN AVE
CHICAGO, IL 60625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033817747, enumerated as an "individual" on February 21, 2023.

The provider is located at 4657 N LINCOLN AVE CHICAGO, IL 60625 and the phone number is (773) 989-6472.

Physical Therapist with taxonomy code 225100000X.