Individual provider Active NPI

Julie C Deignan, P.T.

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1174033419
Registry record updated Sep 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022759 Issued in IL
Practice address
150 S Wacker Dr. Suite LL1-61
Chicago, IL 60606-4103
Phone
(312) 877-5470
Fax
(312) 877-5471
NPI assigned
Sep 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2017

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 070022759 IL Primary

Addresses

Primary practice location

150 S Wacker Dr. Suite LL1-61
Chicago, IL 60606-4103

Mailing address

183 N York St #a
Elmhurst, IL 60126-2717
Phone (630) 832-6919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116000788 IL Practitioner - Physical Therapist in Private Practice 4587920053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Physical Therapists LLCGroup PAC ID 7719140052, 20 clinicians

Practice addresses (Care Compare)

76 E Monroe St
Chicago, IL 60603-2702
Phone (703) 302-0951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506729600000",
    "number": "1174033419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N YORK ST #A",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262717",
            "telephone_number": "630-832-6919",
            "fax_number": "630-832-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WACKER DR. SUITE LL1-61",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064103",
            "telephone_number": "312-877-5470",
            "fax_number": "312-877-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIGNAN",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-30",
        "last_updated": "2017-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022759",
            "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 Sep 30, 2017; 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.