Individual provider Active NPI

Riley Guillet, PT, DPT

  • Physical Therapist
  • Oak Park, IL
National Provider Identifier
1013672518
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
207 Harrison St
Oak Park, IL 60304-1533
Phone
(312) 391-8752
NPI assigned
Nov 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

207 Harrison St
Oak Park, IL 60304-1533

Mailing address

1583 Birmingham LN
Crystal Lake, IL 60014-1912
Phone (815) 353-8762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103000103 IL Practitioner - Physical Therapist in Private Practice 6507257425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mayo Medical School, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Centre Physical TherapyGroup PAC ID 8921359357, 8 clinicians
Centre Physical Therapy Lincoln Park LLCGroup PAC ID 6406242460, 5 clinicians

Practice addresses (Care Compare)

207 Harrison St
Oak Park, IL 60304-1533
Phone (312) 391-8752

2116 N Halsted St
Chicago, IL 60614-4316
Phone (708) 210-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Physical Therapy Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Centre Physical Therapy Lincoln Park LLC Physical Therapist CurrentSince Dec 29, 2024 Accepting new patients

Locations

2116 N Halsted St
Chicago, IL 60614
Phone (708) 210-9800

207 Harrison St
Oak Park, IL 60304
Phone (312) 391-8752

Organizations & group practices 2

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1013672518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 BIRMINGHAM LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141912",
            "telephone_number": "815-353-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041533",
            "telephone_number": "312-391-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLET",
        "first_name": "RILEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.