1. Home
  2. Directory
  3. Illinois
  4. Litchfield
  5. Physical Therapist
  6. NPI Profile

JIMMY DAPOG
NPI 1164780185
Physical Therapist - Geriatrics in Litchfield, IL

Active since April 27, 2012Accepts Medicare Assignment
628 ILLINOIS ST, LITCHFIELD, IL 62056(217) 324-2153 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jimmy Dapog NPPES

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

JIMMY DAPOG (NPI 1164780185) is an individual geriatrics provider in Litchfield, Illinois, licensed in Illinois (070007758) and active in the NPI registry since April 2012. He is a graduate of Other (1990).

NPPES Registry Identity

NPI1164780185
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameJIMMY DAPOG
Location Address628 ILLINOIS STLitchfield, IL 62056
Mailing Address819 N Van Buren StLitchfield, IL 62056-1552
Phone(217) 324-2153
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 27, 2012
✔ NPI 1164780185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in IL · 070007758
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
628 ILLINOIS ST, Litchfield, IL 62056
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN070007758IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jimmy Dapog 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 ID840673281
PECOS Enrollment IDI20220817001370

Medicare Billing Reassignments

2

Medicare enrollment records show Jimmy Dapog reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Empowerme Rehabilitation Illinois, LLC
29 mi
Occupational Therapist
7108 MARINE RD
Edwardsville, IL 62025
  • Reassigned Medicare billing, Illinois enrollment
  • 261 clinicians in this Medicare group
NPI 1679098263 (844) 502-7996
Empowerme Wellness Kansas City, LLC
52 mi
Multi-Specialty
1021 W E ST
Belleville, IL 62220
  • Reassigned Medicare billing, Illinois enrollment
  • 308 clinicians in this Medicare group
NPI 1174118103 (844) 502-7996

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy Dapog's NPI number?

The NPI number for Jimmy Dapog is 1164780185. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Jimmy Dapog located?

Jimmy Dapog practices at 628 Illinois St, Litchfield, IL 62056. The listed phone number is (217) 324-2153.

What is Jimmy Dapog's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Jimmy Dapog enrolled in Medicare?

Yes. Jimmy Dapog is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jimmy Dapog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Dapog reassigns Medicare benefits to 2 organizations: Empowerme Rehabilitation Illinois, LLC (Edwardsville, IL) and Empowerme Wellness Kansas City, LLC (Belleville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimmy Dapog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jimmy Dapog was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.