Individual provider Active NPI

Christian Harvey S. Llobrera

  • Physical Therapist
  • Bloomingdale, IL
National Provider Identifier
1043962582
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026370 Issued in IL
Practice address
220 Springfield Dr Ste 300
Bloomingdale, IL 60108-2215
Phone
(630) 946-2354
Fax
(630) 946-2361
NPI assigned
Jan 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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 070.026370 IL Primary

Addresses

Primary practice location

220 Springfield Dr Ste 300
Bloomingdale, IL 60108-2215

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cllobrera202949@dulyhealthandcare.direct-ci.com Direct
Direct Messaging Address cllobrera202949@dulyhealthandcare.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208000317 IL Practitioner - Physical Therapist in Private Practice 1759774151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

7000 N McCormick Blvd
Lincolnwood, IL 60712-2726
Phone (847) 592-4860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.026370ILMDPhysical Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1043962582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SPRINGFIELD DR STE 300",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082215",
            "telephone_number": "630-946-2354",
            "fax_number": "630-946-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOBRERA",
        "first_name": "CHRISTIAN HARVEY",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cllobrera202949@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "220 Springfield Dr Ste 300",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601082215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cllobrera202949@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "220 Springfield Dr Ste 300",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601082215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.