Individual provider Active NPI

Giacomo Raimondi, DPT

  • Physical Therapist
  • Southport, NC
National Provider Identifier
1073239901
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23722 Issued in NC
Practice address
1517 N Howe St Ste 4
Southport, NC 28461-2773
Phone
(910) 332-3800
Fax
(910) 251-0421
NPI assigned
Oct 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070027121 IL
Physical Therapist 225100000X P23722 NC Primary

Addresses

Primary practice location

1517 N Howe St Ste 4
Southport, NC 28461-2773

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800

Other practice location 1

963 N 129th Infantry Dr
Joliet, IL 60435-3104
Phone (877) 632-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230111002141 IL Practitioner - Physical Therapist in Private Practice 9537539341 Reassigns benefits to 2 organizations
I20250418000099 NC Practitioner - Physical Therapist in Private Practice 9537539341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1517 N Howe St
Southport, NC 28461-2772
Phone (910) 332-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070027121ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Mar 17, 2025 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Orthomidwest, PLLC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Orthomidwest, PLLC CurrentSince Oct 17, 2022 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Nov 22, 2022 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Nov 22, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1000 Commerce Ct
Ste 101
Bensenville, IL 60106
Phone (312) 432-2591

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

963 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 725-8425

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

1517 N Howe St
Southport, NC 28461
Phone (910) 519-8380

1517 N Howe St
Ste 4
Southport, NC 28461
Phone (910) 454-0064

Interoperability endpoints

  • Direct secure messaging: giacomo.raimondi.1@847.direct.athenahealth.com

Organizations & group practices 6

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1073239901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "910-332-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N HOWE ST STE 4",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612773",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "963 N 129th Infantry Dr",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604353104",
            "country_code": "US",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIMONDI",
        "first_name": "GIACOMO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027121",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.