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KYLIE WIELGOPOLAN OT, CHT
NPI 1598512246
Occupational Therapist - Hand in Maryville, IL

Active since May 01, 2024Accepts Medicare Assignment
4996 ILLINOIS ROUTE 159, SUITE B, MARYVILLE, IL 62062(618) 288-4677 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kylie Wielgopolan Ot, Cht NPPES

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

KYLIE WIELGOPOLAN OT, CHT (NPI 1598512246) is an individual hand provider in Maryville, Illinois, licensed in Illinois (056010241) and active in the NPI registry since May 2024. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1598512246
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameKYLIE WIELGOPOLANCredential: OT, CHT
Location Address4996 ILLINOIS ROUTE 159, SUITE BMaryville, IL 62062
Mailing Address2491 Industrial Ct Ste 100Highland, IL 62249-1365 · (815) 488-8040
Phone(618) 288-4677
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 1, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1598512246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in IL · 056010241
4996 ILLINOIS ROUTE 159, Maryville, IL 62062
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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

Kylie Wielgopolan Ot, Cht 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 ID3173065877
PECOS Enrollment IDI20240610002808

Medicare Billing Reassignment

Medicare enrollment records show Kylie Wielgopolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apex Physical Therapy, LLC
1.1 mi
Physical Therapy
4280 S STATE ROUTE 159, STE 3
Glen Carbon, IL 62034
  • Reassigned Medicare billing, Illinois enrollment
  • 35 clinicians in this Medicare group
NPI 1942464045 (618) 288-4233

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

Areas of Expertise CMS Part B claims 6

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

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.
412 services32 patients
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.
267 services29 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.
217 services28 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.
161 services23 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
65 services15 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
19 services19 patients

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 Kylie Wielgopolan's NPI number?

The NPI number for Kylie Wielgopolan is 1598512246. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Kylie Wielgopolan located?

Kylie Wielgopolan practices at 4996 Illinois Route 159 Suite B, Maryville, IL 62062. The listed phone number is (618) 288-4677.

What is Kylie Wielgopolan's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Kylie Wielgopolan enrolled in Medicare?

Yes. Kylie Wielgopolan 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 organization bills Medicare for Kylie Wielgopolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Wielgopolan reassigns Medicare benefits to Apex Physical Therapy, LLC (Glen Carbon, IL). The 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 Kylie Wielgopolan'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 Kylie Wielgopolan was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.