Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Clevenger

Individual provider Physical Therapist · NPI 1033971411

Andrew Clevenger is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Revolution Ptwl LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

2121 W Roscoe St
Chicago, IL 60618-9244
Phone: (312) 586-1185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.028039 (IL)

Record details

NPI number1033971411
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Revolution Ptwl Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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