Active NPI
Edward Refundo, DPT
- Physical Therapist
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.015250
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.015250 | IL | MD | Physical Therapist |
| 05007680A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | 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.
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
- Physical Therapist
- Coral Springs, FL
- NPI 1942319884
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.