Individual provider Active NPI

Edward Refundo, DPT

  • Physical Therapist
  • Hazel Crest, IL
National Provider Identifier
1003918624
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.015250 Issued in IL
Practice address
3330 W 177TH St Ste 2B
Hazel Crest, IL 60429-2186
Phone
(708) 249-8347
Fax
(708) 249-8348
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.015250 IL Primary
Physical Therapist 225100000X 05007680A IN

Addresses

Primary practice location

3330 W 177TH St Ste 2B
Hazel Crest, IL 60429-2186

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

5980 W 71st St Ste 201
Indianapolis, IN 46278-1785
Phone (317) 388-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000546 IL Practitioner - Physical Therapist in Private Practice 1052311156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3330 W 17TH St
Hazel Crest, IL 60429
Phone (708) 249-8347

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.015250ILMDPhysical Therapist
05007680AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 28, 2019 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Sep 11, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 28, 2019 Accepting new patients
United Outreach Inc Physical Therapist Past Accepting new patients
Access Therapies at Home Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

557 S State St
Chicago, IL 60605
Phone (312) 361-0261

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3542 E 118th St
Chicago, IL 60617
Phone (773) 435-9020

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

3330 W 177th St
Ste 2B
Hazel Crest, IL 60429
Phone (708) 249-8346

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

16651 Harlem Ave
Tinley Park, IL 60477
Phone (708) 444-2467

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

Organizations & group practices 6

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1003918624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST STE 2B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292186",
            "telephone_number": "708-249-8347",
            "fax_number": "708-249-8348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 W 71st St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781785",
            "country_code": "US",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REFUNDO",
        "first_name": "EDWARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015250",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007680A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.