Shannon J Yundt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070015633 Issued in IL

Practice address

3082 Caton Farm Rd
Joliet, IL 60435-1455

Phone

(815) 577-9936

Fax

(815) 577-9938

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon J Condon Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

Three Point Healthcare LLCGroup PAC ID 9133484694, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Illinois Luna Care Physical Therapy LLC

  • Physical Therapist
  • Naperville, IL
  • NPI 1033755566
  Medicare reassignment Care Compare group NPD
• Three Point Healthcare LLC

  • Physical Therapist
  • Mokena, IL
  • NPI 1124535240
  Medicare reassignment Care Compare group NPD
• Jointpro Physical Therapy Inc.

  • Physical Therapist
  • Frankfort, IL
  • NPI 1932443207
  Medicare reassignment NPD
• Athletic &Therapeutic Institute of Naperville, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Joliet, IL
  • NPI 1598872921
  NPD (past)
• Athletic and Therapeutic Institute of Joliet LLC

  dba Athletic and Therapeutic Institute of Joliet at Madison

  • Physical Therapist
  • Joliet, IL
  • NPI 1932249109
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1194845511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 CATON FARM RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351455",
            "telephone_number": "815-577-9936",
            "fax_number": "815-577-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNDT",
        "first_name": "SHANNON",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00931597",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CONDON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eleanor Yonushatis, HEARING DT
• Alesha Young, APN FNP-BC
• Keith Young, PHARMD
• Youth Transformation Services (Yts) NFP
• Hellen Yun, OD
• Omer Yusaf, MD
• Margaret H Zabiega, M.D.
• Zahir Medical Group LLC
• Alyssa Zajeski
• Rachel Zajicek, DSW, LCSW

• Physical Therapist in Joliet, IL
• Providers in Joliet, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.