Individual provider Active NPI

Joshua Casillas, PT

  • Physical Therapist
  • Clarendon Hills, IL
National Provider Identifier
1003693938
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.027721 Issued in IL
Practice address
229 Burlington Ave
Clarendon Hills, IL 60514-1179
Phone
(630) 866-1074
Fax
(630) 866-1075
NPI assigned
Sep 13, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.027721 IL Primary

Addresses

Primary practice location

229 Burlington Ave
Clarendon Hills, IL 60514-1179

Mailing address

999 S Mitchell Ave
Elmhurst, IL 60126-5039
Phone (224) 735-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108000462 IL Practitioner - Physical Therapist in Private Practice 0042667313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6410 Route 53
Suite 300
Woodridge, IL 60517-1361
Phone (331) 775-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Jan 6, 2025 Accepting new patients
Clarity Physical Therapy and Wellness Center, LLC Physical Therapist CurrentSince Sep 9, 2023 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

229 Burlington Ave
Clarendon Hills, IL 60514
Phone (630) 866-1074

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

814 Hillgrove Ave
Western Springs, IL 60558
Phone (708) 505-3900

6410 Route 53
Ste 300
Woodridge, IL 60517
Phone (331) 775-3000

Organizations & group practices 3

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1003693938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 S MITCHELL AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265039",
            "telephone_number": "224-735-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 BURLINGTON AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141179",
            "telephone_number": "630-866-1074",
            "fax_number": "630-866-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.027721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.