Individual provider Active NPI

Siobhan Kumiega, DPT

  • Physical Therapist
  • Arlington Heights, IL
National Provider Identifier
1164626313
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015789 Issued in IL
Practice address
3030 W Salt Creek LN Ste 160
Arlington Heights, IL 60005-5005
Phone
(847) 670-5840
Fax
(847) 870-0059
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 070015789 IL Primary

Addresses

Primary practice location

3030 W Salt Creek LN Ste 160
Arlington Heights, IL 60005-5005

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202001853 IL Practitioner - Physical Therapist in Private Practice 8022299197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians
Functional and Sports Performance, IncGroup PAC ID 2163876772, 4 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

2101 Waukegan Rd
Bannockburn, IL 60015-1836

545 Waukegan Rd
Northbrook, IL 60062-1252
Phone (847) 797-4543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Jan 1, 2025 Accepting new patients
Functional & Sports Performance, Inc. Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jan 1, 2025 Accepting new patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 18, 2025 Accepting new patients
Oad Orthopaedics, LTD Physical Therapist Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

545 Waukegan Rd
Northbrook, IL 60062
Phone (847) 797-4543

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1164626313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W SALT CREEK LN STE 160",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055005",
            "telephone_number": "847-670-5840",
            "fax_number": "847-870-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMIEGA",
        "first_name": "SIOBHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.