Individual provider Active NPI

Jack Michael Crowley, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1093508665
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070029123 Issued in IL
Practice address
1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Phone
(877) 632-6637
Fax
(708) 409-5179
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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 070029123 IL Primary

Addresses

Primary practice location

1611 W Harrison St Ste 107
Chicago, IL 60612-4861

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603003929 IL Practitioner - Physical Therapist in Private Practice 4789193434 Reassigns benefits to 2 organizations

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
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1611 W Harrison St
Suite 400
Chicago, IL 60612-4861
Phone (877) 632-6637

1644 E 53Rd St
Chicago, IL 60615-4210
Phone (773) 241-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070029123ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Jan 5, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Orthomidwest, PLLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

4400 McCoy Dr
Ste 114
Aurora, IL 60504
Phone (708) 492-5350

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 107
Chicago, IL 60612
Phone (312) 432-2513

833 S State St
Chicago, IL 60605

2540 N Lincoln Ave
Chicago, IL 60614
Phone (708) 492-5740

1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450

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

1625 N Harlem Ave
Ste 2600
Chicago, IL 60707
Phone (887) 632-6637

2000 W State St
Ste F
Geneva, IL 60134
Phone (708) 492-5720

963 N 129th Infantry Dr
Ste 130
Joliet, IL 60435
Phone (815) 744-1812

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

17130 Prime Blvd
Ste 101
Lockport, IL 60441
Phone (312) 432-2591

55 Shuman Blvd
Ste 700
Naperville, IL 60563
Phone (630) 339-2225

2030 York Rd
Oak Brook, IL 60523
Phone (630) 822-7444

2011 York Rd
Ste 1500
Oak Brook, IL 60523
Phone (708) 492-5630

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

18016 Wolf Rd
Orland Park, IL 60467
Phone (708) 364-9700

555 Busse Hwy
Unit 1C
Park Ridge, IL 60068

8319 Grand Ave
River Grove, IL 60171

7222 W Cermak Rd
Ste 110
Riverside, IL 60546
Phone (312) 432-2826

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

2450 Wolf Rd
Ste E
Westchester, IL 60154
Phone (708) 273-8410

Interoperability endpoints

  • Direct secure messaging: jack.crowley.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1093508665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST STE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "JACK",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070029123",
            "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 Dec 19, 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.