Individual provider Active NPI

James Stubbs, PT

  • Physical Therapist
  • Sugar Grove, IL
National Provider Identifier
1114526647
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.025451 Issued in IL
Practice address
330 Division Dr Ste B&E
Sugar Grove, IL 60554-9800
Phone
(630) 777-3141
NPI assigned
Oct 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 070.025451 IL Primary

Addresses

Primary practice location

330 Division Dr Ste B&E
Sugar Grove, IL 60554-9800

Mailing address

1708 Brookhill LN
Sycamore, IL 60178-2716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903000053 IL Practitioner - Physical Therapist in Private Practice 1759787419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attentive Individualized Management Physical Therapy, LLCGroup PAC ID 5395091581, 10 clinicians

Practice addresses (Care Compare)

330 Division Dr
Suite Bande
Sugar Grove, IL 60554-9800
Phone (630) 777-3141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.025451ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Attentive Individualized Management Physical Therapy, LLC Physical Therapist CurrentSince Aug 24, 2021 Accepting new patients

Locations

1605 W Wilson St
Ste 119
Batavia, IL 60510
Phone (630) 389-7767

330 Division Dr
Ste Be
Sugar Grove, IL 60554
Phone (630) 777-3141

330 Division Dr
Sugar Grove, IL 60554
Phone (630) 777-3141

Organizations & group practices 1

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1114526647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 BROOKHILL LN",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DIVISION DR STE B&E",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549800",
            "telephone_number": "630-777-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.