Active NPI
Jared Gibb, PT
- Physical Therapist
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-014535
- Practice address
- 1440 W North Ave
Suite 202
Melrose Park, IL 60160-1422 - Phone
- (708) 865-8600
- Fax
- (708) 865-8661
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-014535 | IL | Primary |
Addresses
Primary practice location
1440 W North Ave
Suite 202
Melrose Park, IL 60160-1422
Mailing address
1000 E State Pkwy
Suite E
Schaumburg, IL 60173-4569
Phone (630) 285-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
546 N Rand Rd
Lake Zurich, IL 60047-3103
Phone (847) 438-6624
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-014535 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Fox Valley Pain Center Service Corporation | Past | Accepting new patients | |
| American Home Visiting Physicians | Past | Accepting new patients | |
| Fahey Medical Center S.C. | Past | Accepting new patients | |
| Midwest Physical Therapy Ctr | Past | Accepting new patients | |
| Midwest Physical Therapy Ctr | Past | Accepting new patients |
Locations
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
546 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-6624
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Clinic/Center
- Des Plaines, IL
- NPI 1780735977
-
- Pain Medicine Physician
- Elgin, IL
- NPI 1114037066
-
- Physical Therapy Clinic/Center
- Melrose Park, IL
- NPI 1265576441
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- NPI 1992840961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1003826207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E STATE PKWY",
"address_2": "SUITE E",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734569",
"telephone_number": "630-285-8007",
"fax_number": "630-285-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 W NORTH AVE",
"address_2": "SUITE 202",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601422",
"telephone_number": "708-865-8600",
"fax_number": "708-865-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBB",
"first_name": "JARED",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-014535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.