Individual provider Active NPI

Thomas McCormack, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1194985358
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-005316 Issued in IL
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

Updated by the provider on May 5, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20081112000708 IL Practitioner - Physical Therapist in Private Practice 2062571516 Reassigns benefits to 2 organizations

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
Sports and Ortho PCGroup PAC ID 5698676740, 31 clinicians

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

LicenseStateTypeSpecialty
070-005316ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince May 26, 2020 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 26, 2020 Accepting new patients
Sports and Ortho P.C CurrentSince Oct 12, 2020 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.

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.

Verify at the official NPI Registry.