Individual provider Active NPI

Sana Hussain Omer, PT, DPT

  • Physical Therapist
  • Aurora, IL
National Provider Identifier
1073817722
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.018238 Issued in IL
Practice address
305 W Indian TRL Ste B
Aurora, IL 60506-2473
Phone
(630) 820-4050
Fax
(630) 920-4687
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 070.018238 IL Primary

Addresses

Primary practice location

305 W Indian TRL Ste B
Aurora, IL 60506-2473

Mailing address

570 Village Center Dr Ste 205
Burr Ridge, IL 60527-4526
Phone (630) 920-4670

Other practice location 1

2943 W Jefferson St
Joliet, IL 60435-5235
Phone (815) 744-6666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000510 IL Practitioner - Physical Therapist in Private Practice 9830379023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy PCGroup PAC ID 0446214845, 12 clinicians

Practice addresses (Care Compare)

305 W Indian TRL
Suite B
Aurora, IL 60506-2473
Phone 63092046706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.018238ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy PC Physical Therapist CurrentSince Jun 17, 2013 Accepting new patients
Physical Therapy and Rehab Specialists Physical Therapist PastSince Nov 16, 2009 Accepting new patients

Locations

305 W Indian Trl
Ste B
Aurora, IL 60506
Phone (630) 820-4050

4430 Fox Valley Center Dr
Ste 104
Aurora, IL 60504

1000 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527

570 Village Center Dr
Ste 205
Burr Ridge, IL 60527

2943 W Jefferson St
Joliet, IL 60435
Phone (815) 744-6666

1850 W Winchester Rd
Ste 223
Libertyville, IL 60048
Phone (847) 680-3020

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1073817722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 VILLAGE CENTER DR STE 205",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274526",
            "telephone_number": "630-920-4670",
            "fax_number": "620-920-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W INDIAN TRL STE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062473",
            "telephone_number": "630-820-4050",
            "fax_number": "630-920-4687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2943 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604355235",
            "country_code": "US",
            "telephone_number": "815-744-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMER",
        "first_name": "SANA",
        "middle_name": "HUSSAIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.018238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.