Individual provider Active NPI

Michael I Thompson, MSPT

  • Physical Therapist
  • Oak Brook, IL
National Provider Identifier
1093857849
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014751 Issued in IL
Practice address
2011 York Rd Ste 1500
Oak Brook, IL 60523-2156
Phone
(877) 632-6637
Fax
(708) 409-5179
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 070014751 IL Primary

Addresses

Primary practice location

2011 York Rd Ste 1500
Oak Brook, IL 60523-2156

Mailing address

2011 York Rd Ste 1500
Oak Brook, IL 60523-2156
Phone (877) 632-6637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130722000207 IL Practitioner - Physical Therapist in Private Practice 2466526066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

2011 York Rd
Suite 1500
Oak Brook, IL 60523-2156
Phone (877) 632-6637

Merit-based Incentive Payment System (MIPS)

Final score
84.02 of 100Reported as group
Quality
68.63
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Aug 19, 2024 Accepting new patients
Orthomidwest, PLLC Physical Therapist Current Accepting new patients
Centre Physical Therapy Physical Therapist CurrentSince May 10, 2019 Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 19, 2024 Accepting new patients
Centre Physical Therapy Riverside LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Athletic Advantage, Inc. Past Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist PastSince Jul 6, 2015 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

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

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

610 S Maple Ave
Ste 1400
Oak Park, IL 60304
Phone (708) 383-0770

207 Harrison St
Oak Park, IL 60304
Phone (312) 391-8752

1 Riverside Rd
Ste 107
Riverside, IL 60546
Phone (708) 210-9800

Interoperability endpoints

  • Direct secure messaging: michael.thompson.1@12576.direct.athenahealth.com

Organizations & group practices 7

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1093857849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 YORK RD STE 1500",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232156",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 YORK RD STE 1500",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232156",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.