Active NPI
Bryan Piantek, PT
- Physical Therapist
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070015015
- Practice address
- 12004 S Route 59 Unit 100
Plainfield, IL 60585-5108 - Phone
- (630) 967-2000
- Fax
- (815) 676-2594
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008830A | IN | |
| Physical Therapist | 225100000X | 070015015 | IL | Primary |
Addresses
Primary practice location
12004 S Route 59 Unit 100
Plainfield, IL 60585-5108
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
2748 Caton Farm Rd
Joliet, IL 60435-1309
Phone (815) 609-0554
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01622333 | Other | IL | BLUE CROSS BLUE SHIELD |
| P01055667 | Other | IL | MEDICARE RAILROAD |
| 7454077 | Other | IL | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bpiantek306458@dulyhealthandcare.direct-ci.com | Direct |
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)
12004 S Rte
Suite 59
Plainfield, IL 60585-5108
Phone (815) 416-6620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008830A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Physical Therapist | Current | Accepting new patients |
| WCS Occupational Rehabilitation and Sports Medicine, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
12004 S Route 59
Plainfield, IL 60585
Phone (630) 510-6929
12004 S Route 59
Unit 100
Plainfield, IL 60585
Phone (630) 364-7850
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Physical Therapist
- Joliet, IL
- NPI 1013064047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1104840289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12004 S ROUTE 59 UNIT 100",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855108",
"telephone_number": "630-967-2000",
"fax_number": "815-676-2594"
}
],
"practiceLocations": [
{
"address_1": "2748 Caton Farm Rd",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604351309",
"country_code": "US",
"telephone_number": "815-609-0554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIANTEK",
"first_name": "BRYAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008830A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01622333",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01055667",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7454077",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bpiantek306458@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12004 S Route 59 Unit 100",
"city": "Plainfield",
"state": "IL",
"country_code": "US",
"postal_code": "605855108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.