Active NPI
Matthew Perek, DPT
- Orthopedic Physical Therapist
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 1816 170TH St
Hazel Crest, IL 60429-1451 - Phone
- (708) 335-4081
- NPI assigned
- Oct 20, 2021
- Last updated
- Oct 20, 2021
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
1816 170TH St
Hazel Crest, IL 60429-1451
Mailing address
1816 170TH St
Hazel Crest, IL 60429-1451
Phone (708) 335-4081
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
- R Franklin University of Med & Sci/Chicago Medical School, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536
Phone (847) 577-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Riverside Medical, S.C. | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Orthopedic | Current | Accepting new patients |
Locations
3405 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 577-9300
3405 N Arlington Heights Rd
#0
Arlington Heights, IL 60004
3405 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (312) 577-9300
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
1816 170th St
Hazel Crest, IL 60429
Phone (708) 335-1415
840 Willow Rd
Ste P
Northbrook, IL 60062
Phone (224) 649-5600
17236 Harlem Ave
Tinley Park, IL 60477
Phone (708) 633-8379
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBGJAA/Endpoint/BBGJAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1295918795
-
dba Axes Physical Therapy
- Physical Therapist
- Clinton, IL
- NPI 1376917187
Orthopedic
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1053074690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 170TH ST",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291451",
"telephone_number": "708-335-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 170TH ST",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291451",
"telephone_number": "708-335-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREK",
"first_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.