Individual provider Active NPI

Rachel E Richard, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1205308152
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023910 Issued in IL
Practice address
4746 N Cumberland Ave
Chicago, IL 60656-4239
Phone
(773) 417-8901
Fax
(773) 717-5607
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 070023910 IL Primary

Addresses

Primary practice location

4746 N Cumberland Ave
Chicago, IL 60656-4239

Mailing address

4746 N Cumberland Ave
Chicago, IL 60656-4239
Phone (773) 417-8901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204003022 IL Practitioner - Physical Therapist in Private Practice 7315285004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy and Fitness, LLCGroup PAC ID 3274865472, 3 clinicians

Practice addresses (Care Compare)

7607 N Ave
FRNT 1
River Forest, IL 60305-1105
Phone (847) 447-3098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy and Fitness, LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Impact Physical Therapy, LLC Physical Therapist PastSince Mar 3, 2024 Accepting new patients

Locations

2955 Birch St
Unit 1
Franklin Park, IL 60131
Phone (630) 308-1313

7607 North Ave
River Forest, IL 60305
Phone (708) 366-6181

7607 North Ave
Frnt 1
River Forest, IL 60305
Phone (847) 447-3098

7607 North Ave
Frnt
River Forest, IL 60305
Phone (847) 447-3098

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1205308152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 N CUMBERLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564239",
            "telephone_number": "773-417-8901",
            "fax_number": "773-717-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 N CUMBERLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564239",
            "telephone_number": "773-417-8901",
            "fax_number": "773-717-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "RACHEL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023910",
            "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 Jul 7, 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.