Brian L Ball
Individual provider Active NPI Physical Therapist · Winnetka, IL
NPI 1023740552 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1023740552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-026740 (IL)
- Practice address
- 852 Green Bay Rd
Winnetka, IL 60093-1853 - Phone
- (847) 441-5788
- Fax
- (847) 784-8720
- NPI assigned
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Muscle and Joint Physical Therapy LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220801000428 | IL | Practitioner - Physical Therapist in Private Practice | 4981086493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-026740 | IL | MD | Physical Therapist |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 070-026740 | IL | Yes |
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
Other providers in Winnetka, IL
- Athletico LTD
- Ayzenshteyn Chiropractic S.C
- John P. Bair
- Robert Todd Baj
- Melinda Baldwin
- Adi Barad
- Kathleen B Barth
- Lisa Marie Baskfield
- Thomas Bass
- K. Lara Beanblossom
All providers in Winnetka, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.