Active NPI
Takako Shiratori, PT, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016245
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070016245 | IL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Rci (WRS), LLC | Current | 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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba RUSH Physical Therapy
- Physical Therapy Clinic/Center
- Mount Prospect, IL
- NPI 1417561655
Physical Therapist
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
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.