Individual provider Active NPI

Ryan C Todd, P.T., D.P.T.

  • Physical Therapist
  • Oak Park, IL
National Provider Identifier
1174564744
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013594 Issued in IL
Practice address
852 Madison St
Oak Park, IL 60302-4441
Phone
(630) 933-1500
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 070013594
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 070013594 IL
Physical Therapist 225100000X 070013594 IL Primary

Addresses

Primary practice location

852 Madison St
Oak Park, IL 60302-4441

Mailing address

852 Madison St
Oak Park, IL 60302-4441
Phone (708) 445-3965

Other practice location 1

1333 W Belmont Ave Ste 350
Chicago, IL 60657-5785
Phone (630) 933-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000903 IL Practitioner - Physical Therapist in Private Practice 7618924499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Functional Health and WellnessGroup PAC ID 6608925565, 3 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

1333 W Belmont Ave
Suite 350
Chicago, IL 60657-5785
Phone (312) 694-9362

852 Madison St
Oak Park, IL 60302-4441
Phone (708) 445-3965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070013594ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Feb 17, 2025 Accepting new patients
Illinois Luna Care Physical Therapy LLC Multi-Specialty CurrentSince Feb 6, 2026 Accepting new patients
Functional Health and Wellness Multi-Specialty CurrentSince Jun 11, 2009 Accepting new patients
Northwestern Medical Faculty Foundation Multi-Specialty CurrentSince Feb 17, 2025 Accepting new patients
Advanced Physicians, S.C. Multi-Specialty Past Accepting new patients
Advanced Physicians, S.C. Multi-Specialty Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1333 W Belmont Ave
Ste 350
Chicago, IL 60657
Phone (312) 921-0330

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1174564744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024441",
            "telephone_number": "708-445-3965",
            "fax_number": "708-445-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024441",
            "telephone_number": "630-933-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 W Belmont Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575785",
            "country_code": "US",
            "telephone_number": "630-933-1500",
            "fax_number": "312-926-1377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": "070013594",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070013594",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.