Individual provider Active NPI

Michael Dennison

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1144990417
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015576 Issued in GA
Practice address
9735 Southwest Hwy
Oak Lawn, IL 60453-3614
Phone
(708) 499-4497
NPI assigned
Sep 17, 2021
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 PT015576 GA Primary

Addresses

Primary practice location

9735 Southwest Hwy
Oak Lawn, IL 60453-3614

Mailing address

300 W 60TH St Apt C505
Westmont, IL 60559-3629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211014000326 GA Practitioner - Physical Therapist in Private Practice 9830597327 Reassigns benefits to 3 organizations
I20231006001766 IL Practitioner - Physical Therapist in Private Practice 9830597327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2021
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)

9735 Southwest Hwy
Oak Lawn, IL 60453-3614
Phone (708) 499-4497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015576GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Sep 20, 2021 Accepting new patients
Midwest Rehabilitation Group Inc Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Southwest Physical Therapy & Rehabilitation, LTD Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients

Locations (25 of 26)

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

5370 Highway 92
Ste 530
Fairburn, GA 30213
Phone (678) 666-4146

1275 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 460-8609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

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

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

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

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

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

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

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1144990417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 60TH ST APT C505",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533614",
            "telephone_number": "708-499-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.