Active NPI
Richard Duttweiler, PHYSICAL THERAPIST
- Physical Therapist
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001602A
- Practice address
- 759 45TH Ave
Ste. 202
Munster, IN 46321-2939 - Phone
- (219) 836-0193
- Fax
- (219) 836-2452
- NPI assigned
- Jun 7, 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 | 05001602A | IN | Primary |
Addresses
Primary practice location
759 45TH Ave
Ste. 202
Munster, IN 46321-2939
Mailing address
1040 Sierra Dr
Ste 400
Greenwood, IN 46143-7241
Phone (317) 865-8540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200530270 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101000613 | IN | Practitioner - Physical Therapist in Private Practice | 9436111515 | Reassigns benefits to 2 organizations |
| I20210128000274 | IL | Practitioner - Physical Therapist in Private Practice | 9436111515 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Point Orthopedics LLC
Practice addresses (Care Compare)
9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.78 of 100
- Quality
- 53.01
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 60.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001602A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| North Point Orthopedics LLC | Current | Accepting new patients | |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Illiana Surgery and Medical Center | Physical Therapist | Past | Accepting new patients |
| Community Care Network Inc | Past | Accepting new patients | |
| Diveris Orthopedics and Sports Medicine,PC | Past | Accepting new patients | |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Locations
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
9445 Calumet Ave
Munster, IN 46321
Phone (219) 836-1060
2718 US Highway 52 W
Ste C
West Lafayette, IN 47906
Phone (765) 237-3508
Organizations & group practices 10
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.
-
- Orthopaedic Surgery of the Spine Physician
- Munster, IN
- NPI 1801378088
IN
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
IN, Physical Therapist
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
IL, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
- Physical Therapist
- Minooka, IL
- NPI 1083937056
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Physical Therapist
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Warsaw, IN
- NPI 1437362076
-
- Physical Therapist
- Munster, IN
- NPI 1134175490
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1124068374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR",
"address_2": "STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-865-8540",
"fax_number": "317-865-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 45TH AVE",
"address_2": "STE. 202",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212939",
"telephone_number": "219-836-0193",
"fax_number": "219-836-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTWEILER",
"first_name": "RICHARD",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001602A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200530270",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.