Ksenia Mack, PT, DPT
NPI 1033817747 · Physical Therapist · Chicago, IL
Provider details
- NPI number
- 1033817747
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 070.027296 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
926 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 266 | $34 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 189 | $21 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 182 | $26 |
| Therapy Procedure in a Group Setting97150 | 111 | $14 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 105 | $23 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 73 | $26 |
Practice location
Mailing address
Additional practice locations (1)
- 1320 W Fullerton AveChicago, IL 60614-2129Phone: (773) 770-2419
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.