Individual provider Active NPI

Takako Shiratori, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1013188515
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070016245 Issued in IL
Practice address
4822 S Cottage Grove Ave Ste 1-400
Chicago, IL 60615
Phone
(630) 933-1500
Fax
(312) 921-1171
NPI assigned
Mar 12, 2008
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60813965 WA
Physical Therapist 225100000X 070016245 IL Primary
Pediatric Physical Therapist 2251P0200X 070016245 IL

Addresses

Primary practice location

4822 S Cottage Grove Ave Ste 1-400
Chicago, IL 60615

Mailing address

4822 S Cottage Grove Ave Ste 1-400
Chicago, IL 60615
Phone (630) 933-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317003440 IL Practitioner - Physical Therapist in Private Practice 1456615673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1135 S Delano CT E
Suite B201
Chicago, IL 60605-3482
Phone (312) 694-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070016245ILMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC. CurrentSince Jan 20, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 15, 2025 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 15, 2025 Accepting new patients
Rci (WRS), LLC CurrentSince Jan 20, 2025 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1135 S Delano Ct E
Chicago, IL 60605

1135 S Delano Ct E
Ste B201
Chicago, IL 60605
Phone (312) 694-2500

1725 W Harrison St
Ste 440
Chicago, IL 60612
Phone (312) 563-2454

4822 S Cottage Grove Ave
Ste 1400
Chicago, IL 60615

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

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": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1013188515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 S COTTAGE GROVE AVE STE 1-400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "630-933-1500",
            "fax_number": "312-921-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 S COTTAGE GROVE AVE STE 1-400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "630-933-1500",
            "fax_number": "312-921-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRATORI",
        "first_name": "TAKAKO",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60813965",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016245",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070016245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.