Active NPI
Jack Michael Crowley, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070029123
- 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
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 | 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
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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070029123 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Orthomidwest, PLLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | 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
- 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.
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- NPI 1821085028
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- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
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.