Individual provider Active NPI

Kimberlyn Ann Benge, PT

  • Physical Therapist
  • Darien, IL
National Provider Identifier
1679640163
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7511 Lemont Rd Ste 204
Darien, IL 60561-4386
Phone
(630) 985-4010
Fax
(630) 985-4056
NPI assigned
Nov 29, 2006
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL
Physical Therapist 225100000X AZ Primary
Physical Therapist 225100000X

Addresses

Primary practice location

7511 Lemont Rd Ste 204
Darien, IL 60561-4386

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

9160 E Shea Blvd Ste 205
Scottsdale, AZ 85260-6266
Phone (480) 222-0655

Other identifiers 1

IdentifierTypeStateIssuer
070004905OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040503001637 IL Practitioner - Physical Therapist in Private Practice 3779571302 Reassigns benefits to 1 organization
I20231121002048 AZ Practitioner - Physical Therapist in Private Practice 3779571302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7511 Lemont Rd
Darien, IL 60561-4394
Phone (630) 985-4010

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince May 15, 2020 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince May 15, 2020 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist Past Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients
Elmhurst Orthopaedics, SC Past Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients
Ortho-Sport, Inc. Physical Therapist Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

9160 E Shea Blvd
Ste 103A
Scottsdale, AZ 85260

9160 E Shea Blvd
Ste 205
Scottsdale, AZ 85260
Phone (602) 313-5371

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

120 Burr Ridge Pkwy
Burr Ridge, IL 60527
Phone (630) 570-5025

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

705 W Plainfield Rd
Ste 1
Countryside, IL 60525
Phone (708) 352-1362

7511 Lemont Rd
Darien, IL 60561
Phone (630) 985-4010

7511 Lemont Rd
Ste 204
Darien, IL 60561
Phone (630) 985-4010

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

1 N La Grange Rd
Unit 2C
Lagrange Hlds, IL 60525
Phone (708) 698-5680

1210 State St
Ste 1212
Lemont, IL 60439

18W431 Roosevelt Rd
Lombard, IL 60148
Phone (630) 620-1511

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

7191 S Kingery Hwy
Willowbrook, IL 60527
Phone (630) 455-6630

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

6435 Main St
Ste 110
Woodridge, IL 60517
Phone (630) 964-5406

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1679640163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 LEMONT RD STE 204",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614386",
            "telephone_number": "630-985-4010",
            "fax_number": "630-985-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9160 E Shea Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606266",
            "country_code": "US",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENGE",
        "first_name": "KIMBERLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070004905",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.