Active NPI
Brandi L Storck, PT
- Physical Therapist
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070013437
- Practice address
- 4714 Caton Farm Rd
Plainfield, IL 60586-8350 - Phone
- (815) 676-3950
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- 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 | 070013437 | IL | Primary |
Addresses
Primary practice location
4714 Caton Farm Rd
Plainfield, IL 60586-8350
Mailing address
13430 Skyline Dr
Plainfield, IL 60585-1914
Phone (815) 676-3950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367885100 | Other | IL | US DEPT OF LABOR |
| 1619908 | Other | IL | BCBS IL GROUP NUMBER |
| 1623066 | Other | IL | BCBS PROVIDER NUMBER |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1337 Lily Cache LN
Bolingbrook, IL 60490-4600
Phone (630) 226-5110
4714 Caton Farm Rd
Plainfield, IL 60586-8350
Phone (815) 676-3950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brady, P.C. | Physical Therapist | Current | Accepting new patients |
| Creative Therapy Resource, LLC | Physical Therapist | Past | Accepting new patients |
| Midwest Rehabilitation Group Inc | Physical Therapist | Past | Accepting new patients |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
| Occusport Services Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1337 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-5110
4714 Caton Farm Rd
Plainfield, IL 60586
Phone (815) 609-4988
12640 S Route 59
Unit 110
Plainfield, IL 60585
Phone (815) 676-3905
Organizations & group practices 5
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
- Westmont, IL
- NPI 1205875713
-
- Physical Therapy Clinic/Center
- Niles, IL
- NPI 1467409094
Physical Therapist
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1174779623
-
- Physical Therapist
- Lockport, IL
- NPI 1952350886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1124056205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13430 SKYLINE DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605851914",
"telephone_number": "815-676-3950",
"fax_number": "815-676-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 CATON FARM RD",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605868350",
"telephone_number": "815-676-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORCK",
"first_name": "BRANDI",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "367885100",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL GROUP NUMBER",
"identifier": "1619908",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "1623066",
"state": "IL"
}
],
"endpoints": [],
"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 Mar 28, 2018; 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.