Individual provider Active NPI

Michael Pro, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1043459951
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-016905 Issued in IL
Practice address
6000 W Touhy Ave
Suite 202
Chicago, IL 60646-1275
Phone
(773) 744-4291
Fax
(773) 774-4527
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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 070-016905 IL Primary

Addresses

Primary practice location

6000 W Touhy Ave
Suite 202
Chicago, IL 60646-1275

Mailing address

6000 W Touhy Ave
Suite 202
Chicago, IL 60646-1275
Phone (773) 744-4291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160314000113 NM Practitioner - Physical Therapist in Private Practice 3577729276 Reassigns benefits to 1 organization
I20181126003168 CT Practitioner - Physical Therapist in Private Practice 3577729276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Physical Therapy and Wellness LLCGroup PAC ID 8426317595, 21 clinicians

Practice addresses (Care Compare)

100 State Route 37
New Fairfield, CT 06812-4024
Phone (203) 312-0211

Merit-based Incentive Payment System (MIPS)

Final score
26.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-016905ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Aug 21, 2018 Accepting new patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist CurrentSince Jan 18, 2016 Accepting new patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist PastSince Jan 18, 2016 Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

64 Maple St
Kent, CT 06757
Phone (860) 419-5925

100 State Route 37
New Fairfield, CT 06812
Phone (203) 312-0210

170 Mount Pleasant Rd
Ste 202
Newtown, CT 06470
Phone (203) 775-3840

2015 W Main St
Stamford, CT 06902
Phone (203) 273-4872

85 Old Long Ridge Rd
Unit A1
Stamford, CT 06903
Phone (203) 595-5521

1220 Camino del Llano
Belen, NM 87002
Phone (505) 861-1200

535 Highway 314 SW
Los Lunas, NM 87031
Phone (505) 861-1200

16 Maybrook Rd
Ste M
Campbell Hall, NY 10916

16 Maybrook Rd
Ste N
Campbell Hall, NY 10916

Organizations & group practices 3

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1043459951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W TOUHY AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461275",
            "telephone_number": "773-744-4291",
            "fax_number": "773-774-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W TOUHY AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461275",
            "telephone_number": "773-744-4291",
            "fax_number": "773-774-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRO",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-016905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.