DILLON CLEMMER
NPI 1669358230
Physical Therapy Assistant in Crestwood, IL

Active since August 11, 2025
13301 CENTRAL AVE, CRESTWOOD, IL 60418(708) 597-5251 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dillon Clemmer NPPES

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

DILLON CLEMMER (NPI 1669358230) is an individual physical therapy assistant in Crestwood, Illinois, licensed in Illinois (160.010270) and active in the NPI registry since August 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1669358230
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameDILLON CLEMMER
Location Address13301 CENTRAL AVECrestwood, IL 60418-1370
Mailing Address4322 Applewood LnMatteson, IL 60443-1907 · (708) 465-6202
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1669358230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License✔ Licensed in IL · 160.010270
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
13301 CENTRAL AVE, Crestwood, IL 60418

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dillon Clemmer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002397882
PECOS Enrollment IDI20260220001115

Medicare Billing Reassignment

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

Physical Therapy
2807 CENTRE CIR
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
13301 CENTRAL AVE
CRESTWOOD, IL 60418
Durable Medical Equipment & Medical Supplies
13301 CENTRAL AVE
CRESTWOOD, IL 60418
Skilled Nursing Facility
13301 CENTRAL AVE
CRESTWOOD, IL 60418

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 Dillon Clemmer's NPI number?

The NPI number for Dillon Clemmer is 1669358230. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Dillon Clemmer located?

Dillon Clemmer practices at 13301 Central Ave, Crestwood, IL 60418. The listed phone number is (708) 597-5251.

What is Dillon Clemmer's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

Is Dillon Clemmer enrolled in Medicare?

Yes. Dillon Clemmer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dillon Clemmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dillon Clemmer reassigns Medicare benefits to Accommodate, Restore & Collaborate LLC (Downers Grove, 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 Dillon Clemmer'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 Dillon Clemmer was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.