Active NPI
Joy Dianne Roldan, PT
- Physical Therapist
- Elgin, IL
National Provider Identifier
1083209506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.025817
- Practice address
- 819 S Randall Rd # Unitsbc
Elgin, IL 60123-3008 - Phone
- (800) 974-4378
- Fax
- (630) 515-1536
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046579 | NY | |
| Physical Therapist | 225100000X | 070.025817 | IL | Primary |
Addresses
Primary practice location
819 S Randall Rd # Unitsbc
Elgin, IL 60123-3008
Mailing address
24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Phone (800) 974-4378
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 W Higgins Rd
Suite 370
Hoffman Estates, IL 60169-7207
Phone (847) 895-2910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046579 | NY | MD | General Practice Dentistry |
| 070.025817 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titan Medical Associates LTD. | Current | Accepting new patients |
Locations
999 W Main St
Ste 100
West Dundee, IL 60118
Phone (224) 535-8707
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.
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1174779623
-
- Clinic/Center
- West Dundee, IL
- NPI 1407571664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1083209506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24014 W RENWICK RD UNIT 206",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448711",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 S RANDALL RD # UNITSBC",
"city": "ELGIN",
"state": "IL",
"postal_code": "601233008",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "JOY DIANNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2023-10-27",
"certification_date": "2023-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046579",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.025817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.