Individual provider Active NPI

Mariola A Gruba, DPT

  • Physical Therapist
  • Des Plaines, IL
National Provider Identifier
1144703034
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023870 Issued in IL
Practice address
1479 Lee St
Des Plaines, IL 60018-1516
Phone
(847) 299-7470
Fax
(847) 299-7560
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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 070023870 IL Primary

Addresses

Primary practice location

1479 Lee St
Des Plaines, IL 60018-1516

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180927000188 IL Practitioner - Physical Therapist in Private Practice 3870844038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Rehabilitation Group IncGroup PAC ID 8921148602, 53 clinicians

Practice addresses (Care Compare)

885 S Roselle Rd
Schaumburg, IL 60193-3964
Phone (847) 908-3329

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070023870ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Sep 7, 2018 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 7, 2018 Accepting new patients
Midwest Rehabilitation Group Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients

Locations

1970 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 908-3101

1567 Deerfield Pkwy
Buffalo Grove, IL 60089
Phone (847) 520-9038

155 W North Ave
Chicago, IL 60610
Phone (872) 221-1211

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

5214 N Milwaukee Ave
Chicago, IL 60630
Phone (773) 649-5915

6921 W Archer Ave
Chicago, IL 60638
Phone (773) 586-2768

2949 W Irving Park Rd
Chicago, IL 60618
Phone (773) 250-7777

2859 N Milwaukee Ave
Chicago, IL 60618
Phone (773) 257-0100

1479 Lee St
Des Plaines, IL 60018
Phone (847) 299-7470

2500 W Higgins Rd
Ste 370
Hoffman Estates, IL 60169
Phone (847) 895-2910

115 N La Grange Rd
Ste B
La Grange, IL 60525
Phone (708) 303-0100

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

905 E Rand Rd
Ste 100
Mount Prospect, IL 60056
Phone (847) 871-9026

1275 S Naper Blvd
Naperville, IL 60540
Phone (630) 369-1015

9519 N Milwaukee Ave
Niles, IL 60714
Phone (847) 390-0999

1725 W 22nd St
Unit G
Oak Brook, IL 60523
Phone (630) 318-3000

9735 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-7920

14904 S La Grange Rd
Orland Park, IL 60462
Phone (708) 635-0100

885 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 908-3329

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

1751 S Naperville Rd
Ste 107
Wheaton, IL 60189
Phone (630) 369-1015

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.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1144703034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181516",
            "telephone_number": "847-299-7470",
            "fax_number": "847-299-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBA",
        "first_name": "MARIOLA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.