Doctor profile · Federal record

Dr. Ksenia Mack, PT, DPT

Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Orthopedic Physical Therapist · Chicago, IL

  • NPI 1033817747
  • Accepts Medicare
  • 3 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
4657 N Lincoln Ave
Chicago, IL 606252024
(773) 989-6472
Additional location
1320 W Fullerton Ave
Chicago, IL 606142129
(773) 770-2419
Mailing address
2028 N Burling St Apt 309
Chicago, IL 606144434

Credentials & registration

NPPES · NUCC
NPI registered
February 2023 — 3 yrs on file
Profile last updated
June 16, 2025
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
Illinois #070.027296

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1033817747. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
696
Distinct HCPCS
7
Medicare allowed
$19,491
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 204 29 $34
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 122 22 $27
97140 Therapy procedure using manual technique, each 15 minutes 117 26 $21
97535 Training for self-care or home management, each 15 minutes 99 26 $25
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 71 23 $23
97150 Therapy procedure in a group setting 60 20 $15
97164 Re-evaluation for physical therapy, typically 20 minutes 23 16 $72

In context: peer comparison

Among 321 peers in Chicago Physical Therapist, average services per provider: 315. This provider delivers 2.2× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Ksenia Mack's medical specialty?
Dr. Ksenia Mack practices Physical Therapist in Chicago, IL.
Where does Dr. Ksenia Mack practice?
Dr. Ksenia Mack practices at 4657 N Lincoln Ave, Chicago, IL 606252024. Office phone: 7739896472.
What is Dr. Ksenia Mack's NPI?
Dr. Ksenia Mack's National Provider Identifier (NPI) is 1033817747, issued by NPPES.
Does Dr. Ksenia Mack accept Medicare assignment?
Yes. Dr. Ksenia Mack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ksenia Mack commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.