Individual provider Active NPI

Zachary Erb, PT

  • Physical Therapist
  • Bourbonnais, IL
National Provider Identifier
1063642387
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-017216 Issued in IL
Practice address
110 Mooney Dr
Suite 5
Bourbonnais, IL 60914-2171
Phone
(815) 933-7224
Fax
(815) 933-7225
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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 070-017216 IL Primary

Addresses

Primary practice location

110 Mooney Dr
Suite 5
Bourbonnais, IL 60914-2171

Mailing address

110 Mooney Dr
Suite 5
Bourbonnais, IL 60914-2171
Phone (815) 933-7224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000194 IL Practitioner - Physical Therapist in Private Practice 0840446803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Oakmont Lane
Suite 600C
Westmont, IL 60559-5548

625 Enterprise Dr
Oak Brook, IL 60523-8813

900 Rand Rd
Suite 300
Des Plaines, IL 60016-2359

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-017216ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Jul 20, 2020 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jul 20, 2020 Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

110 Mooney Dr
Ste 5
Bourbonnais, IL 60914
Phone (815) 295-8308

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

3296 Executive Dr
Unit 201
Joliet, IL 60431
Phone (815) 207-4223

Organizations & group practices 2

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1063642387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MOONEY DR",
            "address_2": "SUITE 5",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142171",
            "telephone_number": "815-933-7224",
            "fax_number": "815-933-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MOONEY DR",
            "address_2": "SUITE 5",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142171",
            "telephone_number": "815-933-7224",
            "fax_number": "815-933-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERB",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-017216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.