Individual provider Active NPI

Maureen Beifuss Brennan

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1114195153
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070008202 Issued in IL
Practice address
1725 W Harrison St Ste 1006
Professional Office Building
Chicago, IL 60612-3841
Phone
(312) 563-2454
Fax
(312) 563-2222
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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 070008202 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 1006
Professional Office Building
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St Ste 1006
Professional Office Building
Chicago, IL 60612-3841
Phone (312) 563-2454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331002071 IL Practitioner - Physical Therapist in Private Practice 9436588191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Wellness Group LLCGroup PAC ID 8921324716, 7 clinicians
Kamin Physical Therapy, Inc.Group PAC ID 1355393141, 7 clinicians

Practice addresses (Care Compare)

1614 W Central Rd
Suite 200
Arlington Heights, IL 60005-2453
Phone (847) 481-6077

444 N Northwest Hwy
Suite 145
Park Ridge, IL 60068-3275
Phone (847) 384-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070008202ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Mar 23, 2020 Accepting new patients
Kamin Physical Therapy, Inc. Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Rush University Medical Center CurrentSince Mar 23, 2020 Accepting new patients
Northwest Wellness Group LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1614 W Central Rd
Ste 200
Arlington Hts, IL 60005
Phone (847) 481-6077

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ofc
Chicago, IL 60612
Phone (312) 563-2363

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2011 York Rd
Fl 2
Oak Brook, IL 60523
Phone (630) 724-1310

2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (630) 724-1300

444 N Northwest Hwy
Ste 145
Park Ridge, IL 60068
Phone (847) 384-6804

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1114195153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1006",
            "address_2": "PROFESSIONAL OFFICE BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-2454",
            "fax_number": "312-563-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1006",
            "address_2": "PROFESSIONAL OFFICE BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-2454",
            "fax_number": "312-563-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MAUREEN",
        "middle_name": "BEIFUSS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.