Individual provider Active NPI

Slavko Milicevic, DPT

  • Physical Therapist
  • Northbrook, IL
National Provider Identifier
1043663610
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022441 Issued in IL
Practice address
1942 Raymond Dr
Northbrook, IL 60062-6715
Phone
(630) 447-9746
Fax
(630) 385-0124
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 070022441 IL Primary

Addresses

Primary practice location

1942 Raymond Dr
Northbrook, IL 60062-6715

Mailing address

1942 Raymond Dr
Northbrook, IL 60062-6715
Phone (630) 447-9746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825002154 IL Practitioner - Physical Therapist in Private Practice 8426343724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Sapiens Physical Therapy LLCGroup PAC ID 2163780073, 3 clinicians

Practice addresses (Care Compare)

1942 Raymond Dr
Northbrook, IL 60062-6715
Phone (630) 447-9746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Sapiens Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 15, 2016 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 15, 2016 Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1942 Raymond Dr
Northbrook, IL 60062
Phone (630) 447-9746

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

207 63rd St
Willowbrook, IL 60527
Phone (630) 230-0900

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1043663610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626715",
            "telephone_number": "630-447-9746",
            "fax_number": "630-385-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626715",
            "telephone_number": "630-447-9746",
            "fax_number": "630-385-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILICEVIC",
        "first_name": "SLAVKO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.