Individual provider Active NPI

Amy L Johnson, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1144945254
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026950 Issued in IL
Practice address
7447 N Clark St Ste B107
Chicago, IL 60626-1619
Phone
(224) 273-6590
Fax
(224) 273-6591
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 070.026950 IL Primary

Addresses

Primary practice location

7447 N Clark St Ste B107
Chicago, IL 60626-1619

Mailing address

1138 W Barry Ave Apt G
Chicago, IL 60657-6795
Phone (308) 293-6144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805000400 IL Practitioner - Physical Therapist in Private Practice 6901343268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution PTWL LLCGroup PAC ID 7719115617, 42 clinicians
Evolve Physical Therapy IncGroup PAC ID 6901289875, 6 clinicians

Practice addresses (Care Compare)

28 N Cass Ave
Westmont, IL 60559-1602
Phone (312) 878-8800

3600 Thayer CT
Suite 500
Aurora, IL 60504-6700
Phone (630) 453-4052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Physical Therapy Inc Physical Therapist CurrentSince Jun 9, 2024 Accepting new patients
Revolution PTWL LLC Physical Therapist CurrentSince Aug 21, 2025 Accepting new patients
Alleghany Highlands Community Services Past Accepting new patients
Saint Francis Hospital - Evanston LLC PastSince Oct 16, 2022 Accepting new patients
Presence Chicago Hospitals Network PastSince Oct 16, 2022 Accepting new patients

Locations

3600 Thayer Ct
Ste 500
Aurora, IL 60504
Phone (630) 453-4052

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

845 N Michigan Ave
Chicago, IL 60611
Phone (312) 654-2154

28 N Cass Ave
Westmont, IL 60559
Phone (630) 435-1800

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.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1144945254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W BARRY AVE APT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576795",
            "telephone_number": "308-293-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 N CLARK ST STE B107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261619",
            "telephone_number": "224-273-6590",
            "fax_number": "224-273-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026950",
            "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 Oct 11, 2022; 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.