Active NPI
Heather Chenault
- Physical Therapist
- Chicago, IL
National Provider Identifier
1083594303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070029486
- Practice address
- 2569 W Fullerton Ave
Chicago, IL 60647-3147 - Phone
- (773) 252-4921
- NPI assigned
- Sep 5, 2025
- Sex
- Female
- 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 | 070029486 | IL | Primary |
Addresses
Primary practice location
2569 W Fullerton Ave
Chicago, IL 60647-3147
Mailing address
4448 N Beacon St Apt 3
Chicago, IL 60640-8307
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2569 W Fullerton Ave
Chicago, IL 60647-3147
Phone (773) 252-4921
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070029486 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC | Current | Accepting new patients | |
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
Locations
2569 W Fullerton Ave
Chicago, IL 60647
Phone (773) 252-4921
9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
Organizations & group practices 3
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 Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1134733298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1083594303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4448 N BEACON ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606408307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2569 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473147",
"telephone_number": "773-252-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENAULT",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-05",
"last_updated": "2025-10-24",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070029486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.