Active NPI
Leanne Reed, PT
- Physical Therapist
- Bannockburn, IL
National Provider Identifier
1164439030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014262
- Practice address
- 2525 Waukegan Rd #255
Bannockburn, IL 60069 - Phone
- (847) 623-5450
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- 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 | 070014262 | IL | Primary |
Addresses
Primary practice location
2525 Waukegan Rd #255
Bannockburn, IL 60069
Mailing address
6547 N Avondale Ave Ste 1
Chicago, IL 60631-1983
Phone (773) 775-1622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070014262 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC
Enrollment records 2
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
Practice addresses (Care Compare)
2525 Waukegan Rd
Suite 255
Bannockburn, IL 60015-5502
2525 Waukegan Rd
Suite 255
Bannockburn, IL 60015-5514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070014262 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saylor Physical Therapy Cornelius LLC | Current | Accepting new patients | |
| Wellness Club, LTD | Physical Therapist | Current | Accepting new patients |
Locations
2223 Lakeside Dr
Bannockburn, IL 60015
Phone (773) 983-3475
19460 Old Jetton Rd
Ste 202
Cornelius, NC 28031
Phone (704) 255-6879
Organizations & group practices 2
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.
-
- Point of Service
- Cornelius, NC
- NPI 1215331525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164439030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6547 N AVONDALE AVE STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311983",
"telephone_number": "773-775-1622",
"fax_number": "773-775-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WAUKEGAN RD #255",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "60069",
"telephone_number": "847-623-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "LEANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070014262",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bannockburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.