Active NPI
Robert W Sharp, PT
- Physical Therapist
- Bloomingdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-014117
- Practice address
- 303 E Army Trail Rd
Suite 209
Bloomingdale, IL 60108-2169 - Phone
- (630) 582-1512
- Fax
- (630) 582-1514
- NPI assigned
- Aug 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-014117 | IL | Primary |
Addresses
Primary practice location
303 E Army Trail Rd
Suite 209
Bloomingdale, IL 60108-2169
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1611 W Campbell St
Arlington Heights, IL 60005-1515
Phone (800) 974-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-014117 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
| American Home Visiting Physicians | Past | Accepting new patients | |
| Fox Valley Pain Center Service Corporation | Past | Accepting new patients |
Locations
1611 W Campbell St
Arlington Heights, IL 60005
1435 N Randall Rd
Ste 105
Elgin, IL 60123
Phone (847) 214-1305
1000 Wellington Ave
Fl 2
Elk Grove Vlg, IL 60007
Phone (847) 228-2866
2547 Plainfield Naperville Rd
Ste 152
Naperville, IL 60564
Phone 6304340271 ext. 352
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 Therapist
- Plainfield, IL
- NPI 1689648602
-
- General Practice Physician
- Des Plaines, IL
- NPI 1144525510
-
- Pain Medicine Physician
- Elgin, IL
- NPI 1114037066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1104837822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E ARMY TRAIL RD",
"address_2": "SUITE 209",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082169",
"telephone_number": "630-582-1512",
"fax_number": "630-582-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-014117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.