Individual provider Active NPI

Michael Timothy Fitzgerald, P.T.

  • Physical Therapist
  • Lansing, IL
National Provider Identifier
1205894045
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-009870 Issued in IL
Practice address
16819 Torrence Ave
Lansing, IL 60438-6019
Phone
(708) 394-5215
NPI assigned
May 2, 2006
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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 070-009870 IL Primary

Addresses

Primary practice location

16819 Torrence Ave
Lansing, IL 60438-6019

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000954 IL Practitioner - Physical Therapist in Private Practice 4486682739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12052 S Cicero Ave
Alsip, IL 60803-2313
Phone (708) 489-9940

15127 S la Grange Rd
Orland Park, IL 60462-3708
Phone (708) 403-4497

15850 Cicero Ave
Oak Forest, IL 60452-3654
Phone (708) 224-2555

16651 Harlem Ave
Tinley Park, IL 60477-2895
Phone (708) 444-2838

3220 W 115TH St
Chicago, IL 60655-2805
Phone (773) 344-3142

800 Des Plaines Ave
Forest Park, IL 60130-2927
Phone (708) 366-2442

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-009870ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Apr 17, 2017 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Apr 17, 2017 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
Midwest Rehabilitation Group Inc Physical Therapist PastSince Sep 1, 2021 Accepting new patients
Southwest Physical Therapy & Rehabilitation, LTD Physical Therapist PastSince Aug 1, 2005 Accepting new patients

Locations (25 of 26)

12052 S Cicero Ave
Alsip, IL 60803
Phone (708) 489-9940

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

8811 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 741-1080

7708 S Cicero Ave
Burbank, IL 60459
Phone (708) 741-5974

3220 W 115th St
Chicago, IL 60655
Phone (773) 344-3142

3542 E 118th St
Chicago, IL 60617
Phone (773) 435-9020

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9645 S Western Ave
Chicago, IL 60643
Phone (773) 239-2734

4131 167th St
Country Club Hills, IL 60478
Phone (708) 365-5507

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

3330 W 177th St
Ste 2B
Hazel Crest, IL 60429
Phone (708) 249-8346

9638 S Roberts Rd
Unit B36
Hickory Hills, IL 60457
Phone (708) 237-4270

14035 S Bell Rd
Homer Glen, IL 60491
Phone (708) 645-0423

8735 S Merrion Ln
Hometown, IL 60456
Phone (708) 425-1150

16819 Torrence Ave
Lansing, IL 60438
Phone (708) 394-5215

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

15850 Cicero Ave
Oak Forest, IL 60452
Phone (708) 224-2555

5255 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-2977

13125 S La Grange Rd
Orland Park, IL 60462
Phone (708) 310-6733

15127 S La Grange Rd
Orland Park, IL 60462
Phone (708) 403-4497

11741 Southwest Hwy
Palos Heights, IL 60463
Phone (708) 361-8052

426 E 162nd St
South Holland, IL 60473
Phone (708) 333-0677

16651 Harlem Ave
Tinley Park, IL 60477
Phone (708) 444-2467

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1205894045",
    "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",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16819 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604386019",
            "telephone_number": "708-394-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MICHAEL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.