Active NPI
Regina M Roderick, PT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012854
- Practice address
- 7447 W Talcott Ave
Ste 500
Chicago, IL 60631-3716 - Phone
- (773) 631-7898
- Fax
- (773) 361-3005
- NPI assigned
- Apr 26, 2007
- Last updated
- Feb 12, 2020
- 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 | 070012854 | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave
Ste 500
Chicago, IL 60631-3716
Mailing address
7447 W Talcott Ave
Ste 500
Chicago, IL 60631-3716
Phone (773) 631-7898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1550 N Northwest Hwy
Suite 120
Park Ridge, IL 60068-1458
Phone (847) 298-3079
2101 Waukegan Rd
Bannockburn, IL 60015-1836
250 S Northwest Hwy
Park Ridge, IL 60068-4237
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070012854 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Accelerated Rehabilitation Centers, LTD | Physical Therapist | Past | Accepting new patients |
| Accelerated Rehabilitation Centers, 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
7447 W Talcott Ave
Ste 500
Chicago, IL 60631
Phone (312) 631-7898
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
250 S Northwest Hwy
Ste 204
Park Ridge, IL 60068
Phone (773) 631-4112
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Physical Therapist
- Chicago, IL
- NPI 1043603020
-
dba Athletico Physical Therapy
- Physical Therapist
- Roscoe, IL
- NPI 1043604184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1164642872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "STE 500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313716",
"telephone_number": "773-631-7898",
"fax_number": "773-631-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "STE 500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313716",
"telephone_number": "773-631-7898",
"fax_number": "773-361-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODERICK",
"first_name": "REGINA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.