Individual provider Active NPI

Deshon Anita Eason, PT

  • Physical Therapist
  • Alsip, IL
National Provider Identifier
1164443248
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-015121 Issued in IL
Practice address
12549 S Holiday Dr
Unit D
Alsip, IL 60803-3238
Phone
(708) 388-5900
NPI assigned
Jul 22, 2006
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 070-015121 IL Primary

Addresses

Primary practice location

12549 S Holiday Dr
Unit D
Alsip, IL 60803-3238

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150406000095 DC Practitioner - Physical Therapist in Private Practice 6507184413 Reassigns benefits to 2 organizations
I20230621000027 MD Practitioner - Physical Therapist in Private Practice 6507184413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

18302 Contour Rd
Montgomery Village, MD 20877-2614
Phone (240) 912-2060

7820 Wormans Mill Rd C
Ati Physical Therapy
Frederick, MD 21701-3037
Phone (240) 831-7664

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-015121ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Mar 22, 2017 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Mar 22, 2017 Accepting new patients
TJ Corporation I LLC Past Accepting new patients
Healthy Checkups LLC Physical Therapist PastSince Mar 1, 2015 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

7820 Wormans Mill Rd
Ste C
Frederick, MD 21701
Phone (240) 831-7664

12151 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 591-5109

9156 Rothbury Dr
Gaithersburg, MD 20886
Phone (240) 690-7595

307 International Cir
Ste 100
Hunt Valley, MD 21030
Phone (410) 606-7720

18302 Contour Rd
Montgomery Village, MD 20877
Phone (240) 912-2060

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

10060 Darnestown Rd
Rockville, MD 20850
Phone (240) 238-0403

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Organizations & group practices 6

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1164443248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12549 S HOLIDAY DR",
            "address_2": "UNIT D",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033238",
            "telephone_number": "708-388-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "DESHON",
        "middle_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-015121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alsip, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.