Individual provider Active NPI

Kathleen C Hertz

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1013959907
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
70015092 Issued in IL
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

Updated by the provider on Jul 10, 2013

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 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

Enrollment IDStateProvider typePAC IDDetails
I20101209000851 IL Practitioner - Physical Therapist in Private Practice 3779770268 Reassigns benefits to 1 organization

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
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

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 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70015092ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jul 5, 2013 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 5, 2013 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.

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.

Verify at the official NPI Registry.