Active NPI
Kane Thompson, PT, DPT
- Physical Therapist
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021541
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhealth LLC | Physical Therapist | Current | Accepting new patients |
| Fuller Health Group SC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Oak Park, IL
- NPI 1285217034
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.