Active NPI
Thomas McCormack, PT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-005316
- Practice address
- 7238 N Harlem Ave
Chicago, IL 60631-4335 - Phone
- (773) 657-3897
- Fax
- (773) 657-3895
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- 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 | 070-005316 | IL | Primary |
Addresses
Primary practice location
7238 N Harlem Ave
Chicago, IL 60631-4335
Mailing address
412 W 31St St
Chicago, IL 60616-3116
Phone (312) 225-3119
Other practice location 1
9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2127
Phone (847) 779-6050
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, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7258 N Harlem Ave
Chicago, IL 60631-4335
Phone (773) 657-3897
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-005316 | IL | 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 |
| Sports and Ortho P.C | Current | Accepting new patients |
Locations
412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119
7238 N Harlem Ave
Chicago, IL 60631
Phone (312) 225-3119
7258 N Harlem Ave
Chicago, IL 60631
Phone (773) 657-3897
7258 N Harlem Ave
Chicago, IL 60631
6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547
1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440
2747 Pfingsten Rd
Glenview, IL 60026
Phone (224) 282-8133
30 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 336-1520
233 Waukegan Rd
Lake Bluff, IL 60044
Phone (847) 482-9990
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
300 S State St
Marengo, IL 60152
Phone (815) 568-4550
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1871640565
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1194985358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W 31ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163116",
"telephone_number": "312-225-3119",
"fax_number": "773-657-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7238 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606314335",
"telephone_number": "773-657-3897",
"fax_number": "773-657-3895"
}
],
"practiceLocations": [
{
"address_1": "9000 Waukegan Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Morton Grove",
"state": "IL",
"postal_code": "600532127",
"country_code": "US",
"telephone_number": "847-779-6050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMACK",
"first_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-005316",
"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 May 5, 2022; 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.