Individual provider Active NPI

John F Grady, DPT

  • Physical Therapist
  • Bolingbrook, IL
National Provider Identifier
1154840981
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023463 Issued in IN
Practice address
206 N Weber Rd
Bolingbrook, IL 60440-1566
Phone
(331) 244-8499
Fax
(331) 215-5019
NPI assigned
Sep 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 070023463 IN Primary

Addresses

Primary practice location

206 N Weber Rd
Bolingbrook, IL 60440-1566

Mailing address

PO Box 416501
Boston, MA 02241-7594
Phone (914) 294-4050

Other practice location 1

7967 Calumet Ave
Munster, IN 46321-1215
Phone (219) 513-0092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923000161 IL Practitioner - Physical Therapist in Private Practice 8325304553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 N Larkin Ave
Suite C
Joliet, IL 60435-7833
Phone (779) 970-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070023463INMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jan 22, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jan 22, 2025 Accepting new patients
Brady, P.C. Physical Therapist CurrentSince Jul 10, 2019 Accepting new patients

Locations

206 N Weber Rd
Bolingbrook, IL 60440
Phone (331) 244-8499

1337 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-5110

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

111 N Larkin Ave
Ste C
Joliet, IL 60435
Phone (779) 970-5100

806 Laraway Rd
New Lenox, IL 60451
Phone (779) 456-4094

9763 W 143rd St
Ste C
Orland Park, IL 60462
Phone (708) 226-1991

1480 Douglas Rd
Oswego, IL 60543
Phone (331) 216-0100

12640 S Route 59
Unit 110
Plainfield, IL 60585
Phone (815) 676-3905

38 S Main St
Apt A
Sugar Grove, IL 60554
Phone (630) 466-5866

17236 Harlem Ave
Ste 140
Tinley Park, IL 60477

Interoperability endpoints

  • Direct secure messaging: john.grady.p7@direct.athleticoltd.nextgenshare.com

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1154840981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417594",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401566",
            "telephone_number": "331-244-8499",
            "fax_number": "331-215-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7967 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211215",
            "country_code": "US",
            "telephone_number": "219-513-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "070023463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.