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
Mailing address2121 W Roscoe St, Chicago, IL 60618-9244

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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