Organization Active NPI

Brightmore Physical Therapy LTD

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1033226857
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070004942 Issued in IL
Legal business name
BRIGHTMORE PHYSICAL THERAPY LTD
Practice address
1240 Essington Rd
Suite 100
Joliet, IL 60435-8408
Phone
(815) 744-7108
Fax
(815) 744-7057
NPI assigned
Aug 25, 2006
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marc O'Neal, PTNPI 1306886411
Title
Owner
Phone
(815) 744-7108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070004942 IL Primary

Addresses

Primary practice location

1240 Essington Rd
Suite 100
Joliet, IL 60435-8408

Mailing address

1240 Essington Rd
Suite 100
Joliet, IL 60435-8408
Phone (815) 744-7108

Other identifiers 1

IdentifierTypeStateIssuer
324626481001MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071005000106 IL Part B Supplier - Clinic/Group Practice 8224123807 Receives reassigned benefits from 9 practitioners
Practice locations: Frankfort, IL; Joliet, IL; Plainfield, IL

National Provider Directory

National Provider Directory

Locations

10309 W Lincoln Hwy
Frankfort, IL 60423
Phone (309) 370-3751

1240 Essington Rd
Ste 100
Joliet, IL 60435
Phone (815) 744-7108

23909 W Renwick Rd
Ste 101
Plainfield, IL 60544
Phone (815) 436-6900

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1033226857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ESSINGTON RD",
            "address_2": "SUITE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358408",
            "telephone_number": "815-744-7108",
            "fax_number": "815-744-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ESSINGTON RD",
            "address_2": "SUITE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358408",
            "telephone_number": "815-744-7108",
            "fax_number": "815-744-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTMORE PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-744-7108",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070004942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324626481001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.