Individual provider Active NPI

Kane Thompson, PT, DPT

  • Physical Therapist
  • Wheaton, IL
National Provider Identifier
1063888022
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021541 Issued in IL
Practice address
400 S County Farm Rd
Suite 310
Wheaton, IL 60187-4547
Phone
(877) 709-1090
NPI assigned
Aug 13, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 070021541 IL Primary

Addresses

Primary practice location

400 S County Farm Rd
Suite 310
Wheaton, IL 60187-4547

Mailing address

211 N Clinton St Ste 2N
Chicago, IL 60661-1283
Phone (877) 709-1090

Other practice location 1

1049 Lake St Ste 201
Oak Park, IL 60301-6708
Phone (877) 709-1090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901001156 IL Practitioner - Physical Therapist in Private Practice 1557677804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhealth LLCGroup PAC ID 2062879844, 7 clinicians

Practice addresses (Care Compare)

1010 Lake St
Oak Park, IL 60301-1135
Phone (312) 801-0318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bhealth LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Fuller Health Group SC Physical Therapist CurrentSince Nov 19, 2020 Accepting new patients

Locations

1010 Lake St
Ste 400
Oak Park, IL 60301
Phone (312) 801-0318

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, 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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063888022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N CLINTON ST STE 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611283",
            "telephone_number": "877-709-1090",
            "fax_number": "866-221-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COUNTY FARM RD",
            "address_2": "SUITE 310",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874547",
            "telephone_number": "877-709-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Lake St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603016708",
            "country_code": "US",
            "telephone_number": "877-709-1090",
            "fax_number": "866-221-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KANE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

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