Individual provider Active NPI

Megan M Bradberry, DPT

  • Physical Therapist
  • Oak Brook, IL
National Provider Identifier
1013393024
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022698 Issued in IL
Practice address
1600 16TH St
Suite T14
Oak Brook, IL 60523-1302
Phone
(630) 572-9700
Fax
(630) 572-0706
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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 3491 NE
Physical Therapist 225100000X 070022698 IL Primary

Addresses

Primary practice location

1600 16TH St
Suite T14
Oak Brook, IL 60523-1302

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129001092 IL Practitioner - Physical Therapist in Private Practice 4082920020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
72.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070022698ILMDPhysical Therapist
3491NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution PTWL LLC Physical Therapist CurrentSince Feb 1, 2019 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jul 23, 2020 Accepting new patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 29, 2024 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jul 23, 2020 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Aug 12, 2019 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 12, 2019 Accepting new patients
Makovicka Harms Group, PC Physical Therapist Past Accepting new patients

Locations (25 of 29)

500 W Lake St
Addison, IL 60101
Phone (630) 607-1820

1057 S York Rd
Bensenville, IL 60106
Phone (630) 350-2736

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

7000 Broadview Village Sq
Broadview, IL 60155
Phone (708) 865-5742

120 Burr Ridge Pkwy
Burr Ridge, IL 60527
Phone (630) 570-5025

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

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

7511 Lemont Rd
Ste 204
Darien, IL 60561
Phone (630) 985-4010

925 Meacham Rd
Elk Grove Vlg, IL 60007
Phone (847) 923-6858

684 W North Ave
Elmhurst, IL 60126
Phone (630) 617-5489

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

460 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 858-8484

1 N La Grange Rd
Unit 2C
Lagrange Hlds, IL 60525
Phone (708) 698-5680

1210 State St
Ste 1212
Lemont, IL 60439

18W431 Roosevelt Rd
Lombard, IL 60148
Phone (630) 620-1511

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

124 W North Ave
Northlake, IL 60164
Phone (708) 731-2880

2030 York Rd
Oak Brook, IL 60523
Phone (630) 822-7444

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

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

11223 W Cermak Rd
Westchester, IL 60154
Phone (708) 483-0005

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

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1013393024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 16TH ST",
            "address_2": "SUITE T14",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231302",
            "telephone_number": "630-572-9700",
            "fax_number": "630-572-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBERRY",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.