Tasha Marie Fleming, MPT

Key facts

NPI

1104447382

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

070011148 (IL)

Practice address

1251 E Richton Rd
Crete, IL 60417-1623

Phone

(708) 672-6700

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

Yes

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.

• Athletic and Therapeutic Institute of Naperville LLC Physical Therapist · Aurora, IL · NPI 1023129681
  Medicare reassignment NPD IL · PHYSICAL THERAPIST
• Athletico LTD Physical Therapist · Oak Brook, IL · NPI 1821085028
  Medicare reassignment NPD IL · PHYSICAL THERAPIST
• Athletic and Therapeutic Institute of Naperville, LLC Durable Medical Equipment & Medical Supplies · Hazel Crest, IL · NPI 1043952641
  NPD
• Athletico LTD Clinic/Center · Lafayette, IN · NPI 1053044867
  NPD PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTD (2,187 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.49 of 100 (group)

Quality

90

Improvement activities

40

Cost

73.3

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tasha.fleming.p9@direct.athleticoltd.nextgenshare.com

Specialties & licenses

Addresses

Other names

• Tasha Weatherspoon Other name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 30, 2024.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1104447382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E RICHTON RD",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171623",
            "telephone_number": "708-672-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "TASHA",
        "middle_name": "MARIE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.selectrehab.com",
            "affiliation": "N",
            "address_1": "1251 E Richton Rd",
            "city": "Crete",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604171623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "WEATHERSPOON",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in Crete, IL · Physical Therapist in Illinois