Active NPI
Kathleen C Hertz
- Physical Therapist
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70015092
- Practice address
- 8729 Ridgeland Ave
Oak Lawn, IL 60453-1001 - Phone
- (708) 233-6363
- Fax
- (708) 233-5580
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70015092 | IL | Primary |
Addresses
Primary practice location
8729 Ridgeland Ave
Oak Lawn, IL 60453-1001
Mailing address
8729 Ridgeland Ave
Oak Lawn, IL 60453-1001
Phone (708) 233-6363
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1256 W Boughton Rd
Bolingbrook, IL 60440-6568
Phone (630) 378-9420
407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320
722 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 695-5088
8729 Ridgeland Ave
Oak Lawn, IL 60453-1001
Phone (708) 233-6363
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70015092 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Flexeon Rehabilitation & Hand Center of Mokena LLC | Past | Accepting new patients | |
| Flexeon Rehabilitation of Frankfort LLC | Physical Therapist | Past | Accepting new patients |
Locations
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
8729 Ridgeland Ave
Oak Lawn, IL 60453
Phone (708) 233-6363
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Organizations & group practices 4
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.
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1750684510
-
- Physical Therapy Clinic/Center
- Frankfort, IL
- NPI 1679510721
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1013959907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8729 RIDGELAND AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604531001",
"telephone_number": "708-233-6363",
"fax_number": "708-233-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8729 RIDGELAND AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604531001",
"telephone_number": "708-233-6363",
"fax_number": "708-233-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZ",
"first_name": "KATHLEEN",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70015092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.