Active NPI
Terence McIntyre
- Physical Therapist
- Evanston, IL
National Provider Identifier
1093825952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1642 Maple Ave
Evanston, IL 60201-3602 - Phone
- (224) 296-4080
- NPI assigned
- Aug 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070010711 | IL | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1642 Maple Ave
Evanston, IL 60201-3602
Mailing address
330 Ashland Ave
Evanston, IL 60202-3206
Phone (847) 864-3592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-010711 | Other | IL | LICENSE # |
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
826 W Touhy Ave
Park Ridge, IL 60068-3352
Phone (847) 720-4165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Dynapeak Fitness and Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
Locations
701 N Wheeling Rd
Mt Prospect, IL 60056
Phone (224) 801-4348
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
- Mount Prospect, IL
- NPI 1033509914
Physical Therapist
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1174137335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1093825952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 ASHLAND AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023206",
"telephone_number": "847-864-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 MAPLE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013602",
"telephone_number": "224-296-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "TERENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070010711",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "070-010711",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.