Active NPI
Diane Newquist, PT
- Physical Therapist
- Algonquin, IL
National Provider Identifier
1023128386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070005212
- Practice address
- 1213 S Main St
Algonquin, IL 60102-2741 - Phone
- (224) 505-3343
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 28, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070005212 | IL | Primary |
Addresses
Primary practice location
1213 S Main St
Algonquin, IL 60102-2741
Mailing address
766 Butternut LN
Elgin, IL 60123-2586
Phone (847) 987-1627
Other practice location 1
360 Station Dr
Suite 250
Crystal Lake, IL 60014-7978
Phone (815) 356-1750
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568150 | Other | IL | MEDICARE GROUP NUMBER |
| CJ4383 | Other | IL | R R MEDICARE GROUP # |
| CJ8115 | Other | IL | R R MEDICARE GRP # |
| P00221605 | Other | IL | R R MEDICARE PIN # |
| 567700 | Other | IL | MEDICARE GROUP NUMBER |
| 1623066 | Other | IL | BCBS PROVIDER # |
| 367885100 | Other | IL | U S DEPT OF LABOR PROV# |
| 1619908 | Other | IL | BCBS IL GROUP NUMBER |
| 568080 | Other | IL | MEDICARE GROUP NUMBER |
| 650022978 | Other | IL | R R MEDICARE PIN # |
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, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
819 S Randall Rd
Unit BC
Elgin, IL 60123-3008
Phone (800) 974-4378
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.43 of 100
- Quality
- 92.42
- Improvement activities
- 40
- Cost
- 72.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| DPT Holdings PLLC | Past | Accepting new patients |
Locations
819 S Randall Rd
Unit Bc
Elgin, IL 60123
24014 W Renwick Rd
Ste 206
Plainfield, IL 60544
621 S 8th St
West Dundee, IL 60118
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1023128386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "766 BUTTERNUT LN",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232586",
"telephone_number": "847-987-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 S MAIN ST",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601022741",
"telephone_number": "224-505-3343"
}
],
"practiceLocations": [
{
"address_1": "360 Station Dr",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600147978",
"country_code": "US",
"telephone_number": "815-356-1750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWQUIST",
"first_name": "DIANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070005212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568150",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R R MEDICARE GROUP #",
"identifier": "CJ4383",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R R MEDICARE GRP #",
"identifier": "CJ8115",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R R MEDICARE PIN #",
"identifier": "P00221605",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "567700",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "1623066",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U S DEPT OF LABOR PROV#",
"identifier": "367885100",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL GROUP NUMBER",
"identifier": "1619908",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568080",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R R MEDICARE PIN #",
"identifier": "650022978",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.