Active NPI
Michael Timothy Fitzgerald, P.T.
- Physical Therapist
- Lansing, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009870
- Practice address
- 16819 Torrence Ave
Lansing, IL 60438-6019 - Phone
- (708) 394-5215
- NPI assigned
- May 2, 2006
- Last updated
- Apr 25, 2017
- 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 | 070-009870 | 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
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009870 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Midwest Rehabilitation Group Inc | Physical Therapist | Past | Accepting new patients |
| Southwest Physical Therapy & Rehabilitation, LTD | Physical Therapist | Past | 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.
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
dba ATI Physical Therapy
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
dba ATI Physical Therapy
- Physical Therapist
- Tinley Park, IL
- NPI 1215128863
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1174779623
-
- Orthopedic Physical Therapist
- Oak Lawn, IL
- NPI 1699899104
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.