Active NPI
Jordan Dellamano, PT
- Physical Therapist
- Shiloh, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020566
- Practice address
- 3940 Green Mount Crossing Dr
Shiloh, IL 62269-7289 - Phone
- (618) 628-3100
- NPI assigned
- Feb 27, 2014
- Last updated
- Mar 27, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020566 | IL | Primary |
Addresses
Primary practice location
3940 Green Mount Crossing Dr
Shiloh, IL 62269-7289
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 N Randall Rd
Lake in the Hills, IL 60156-5903
Phone (847) 854-8219
3940 Green Mount Crossing Dr
Shiloh, IL 62269-7289
Phone (618) 628-3100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070020566 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
1047 Century Dr
Edwardsville, IL 62025
Phone (618) 307-3434
5300 N Illinois St
#101
Fairview Hts, IL 62208
Phone (618) 222-2222
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
3940 Green Mount Crossing Dr
Shiloh, IL 62269
Phone (618) 628-3100
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
951 Waterbury Falls Dr
O Fallon, MO 63368
Phone (636) 336-0300
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
201 N 7th St
Saint Louis, MO 63101
Phone (314) 678-1008
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- jordan.dellamano.p2@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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1043635063",
"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": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 GREEN MOUNT CROSSING DR",
"city": "SHILOH",
"state": "IL",
"postal_code": "622697289",
"telephone_number": "618-628-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLAMANO",
"first_name": "JORDAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.