Active NPI
Jean Badman, DPT
- Physical Therapist
- Woodstock, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022307
- Practice address
- 113 S Eastwood Dr
Woodstock, IL 60098-3519 - Phone
- (815) 334-0400
- Fax
- (815) 334-0800
- NPI assigned
- Jan 15, 2015
- Last updated
- Mar 29, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60831 | OR | |
| Physical Therapist | 225100000X | 9415 | MN | |
| Physical Therapist | 225100000X | 42133 | CA | |
| Physical Therapist | 225100000X | 1238483 | TX | |
| Physical Therapist | 225100000X | 070022307 | IL | Primary |
Addresses
Primary practice location
113 S Eastwood Dr
Woodstock, IL 60098-3519
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250
Other names 1
- Jean Roth
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
- West Virginia University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 N Randall Rd
Lake in the Hills, IL 60156-5903
Phone (847) 854-8219
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42133 | CA | MD | Marriage & Family Therapist |
| 9415 | MN | MD | Physical Therapist |
| 60831 | OR | MD | Physical Therapist |
| 1238483 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
113 S Eastwood Dr
Woodstock, IL 60098
Phone (815) 334-0400
Organizations & group practices 2
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.
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1184013096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S EASTWOOD DR",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983519",
"telephone_number": "815-334-0400",
"fax_number": "815-334-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADMAN",
"first_name": "JEAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60831",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9415",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42133",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1238483",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "ROTH",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodstock, IL
- Denise Augelli-Washko, PTA
- Aunt Martha's Health and Wellness, Inc. (Aunt Martha's Woodstock Community Health Center)
- Avamere Outpatient Services (Merit Rehab)
- Abimbola Awe
- Jill Erin Azzaline, IBCLC
- Jeffrey D Bagdon, DO
- Jennifer Lynn Bagus
- Stacy Baker
- Celeste Marie Ballard, MA, LCPC
- Jennifer Balleto, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.