Individual provider Active NPI

Clive A Salvacion, PT

  • Physical Therapist
  • Wheeling, IL
National Provider Identifier
1053832295
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-022919 Issued in IL
Practice address
1562 E Lake Cook Rd
Wheeling, IL 60090-2249
Phone
(847) 243-1000
NPI assigned
Jun 28, 2017
Last updated
Jun 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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 070-022919 IL Primary

Addresses

Primary practice location

1562 E Lake Cook Rd
Wheeling, IL 60090-2249

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728002614 IL Practitioner - Physical Therapist in Private Practice 7618248329 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

Practice addresses (Care Compare)

109 W Geneva Rd
Wheaton, IL 60187-9141
Phone (630) 784-3251

1406 Golf Rd
Rolling Meadows, IL 60008-4206
Phone (312) 924-2428

1469 Ellinwood Ave
Des Plaines, IL 60016-4565
Phone (847) 635-6896

1562 -1564 Lake Cook Rd
Wheeling, IL 60090-2249
Phone (847) 243-1000

1628 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 253-2944

800 Des Plaines Ave
Forest Park, IL 60130-2927
Phone (708) 366-2442

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-022919ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jun 19, 2017 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Aug 8, 2023 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Aug 8, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Jun 19, 2017 Accepting new patients

Locations

1628 W Central Rd
Arlington Hts, IL 60005
Phone (847) 253-2944

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

6105 N Lincoln Ave
Chicago, IL 60659
Phone (773) 279-0927

1469 Ellinwood Ave
Des Plaines, IL 60016
Phone (847) 635-6896

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

900 Milwaukee Ave
Lincolnshire, IL 60069
Phone (847) 415-8800

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

1 W Rand Rd
Ste A
Mount Prospect, IL 60056
Phone (847) 590-5241

8480 W Golf Rd
Niles, IL 60714
Phone (847) 470-0023

1122 Willow Rd
Ste A
Northbrook, IL 60062
Phone (847) 504-4100

1406 Golf Rd
Rolling Meadows, IL 60008
Phone (312) 924-2428

4732 Dempster St
Skokie, IL 60076
Phone (224) 534-2280

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

114 Skokie Blvd
Wilmette, IL 60091
Phone (847) 512-5102

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

Organizations & group practices 5

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1053832295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 E LAKE COOK RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902249",
            "telephone_number": "847-243-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVACION",
        "first_name": "CLIVE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-022919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.