Active NPI
Brian L Ball
- Physical Therapist
- Winnetka, IL
National Provider Identifier
1023740552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-026740
- Practice address
- 852 Green Bay Rd
Winnetka, IL 60093-1853 - Phone
- (847) 441-5788
- Fax
- (847) 784-8720
- NPI assigned
- Jun 24, 2022
- Last updated
- Jul 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 070-026740 | IL | Primary |
Addresses
Primary practice location
852 Green Bay Rd
Winnetka, IL 60093-1853
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3228 N Clark St
Chicago, IL 60657-1602
Phone (773) 857-0689
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muscle & Joint Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
3228 N Clark St
Chicago, IL 60657
Phone (716) 397-7636
Interoperability endpoints
- brian.ball.p9@direct.athleticoltd.nextgenshare.com
Organizations & group practices 1
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.
-
- Physical Therapist
- Chicago, IL
- NPI 1336760602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1023740552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 GREEN BAY RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931853",
"telephone_number": "847-441-5788",
"fax_number": "847-784-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "BRIAN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-026740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.