Individual provider Active NPI

Zorn Coleman, PT

  • Physical Therapist
  • Dyer, IN
National Provider Identifier
1205946233
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010344A Issued in IN
Practice address
151 Joliet St
Dyer, IN 46311
Phone
(219) 864-0290
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10010456 IL
Physical Therapist 225100000X 05010344A IN Primary

Addresses

Primary practice location

151 Joliet St
Dyer, IN 46311

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250

Other practice location 1

25622 S Governors Hwy
Monee, IL 60449-8987
Phone (708) 235-0144

Other practice location 2

25622 S Governors Hwy
Monee, IL 60449-8987
Phone (708) 235-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070301000455 IL Practitioner - Physical Therapist in Private Practice 7113029687 Reassigns benefits to 2 organizations
I20161212000887 IN Practitioner - Physical Therapist in Private Practice 7113029687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

10081 Wicker Ave
Suite 4
Saint John, IN 46373-8842
Phone (219) 627-6445

1505 US Hwy 41
Suite A20
Schererville, IN 46375-1394
Phone (219) 322-5560

1940 165TH St
Suite 800
Hammond, IN 46320-2840
Phone (219) 803-3880

2338 N US Hwy 35
La Porte, IN 46350-8380
Phone (219) 325-0060

2904 N Calumet Ave
Athletico Physical Therapy
Valparaiso, IN 46383-2639
Phone (219) 462-1020

748 E Porter Ave
Chesterton, IN 46304-9101
Phone (219) 255-1566

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10010456ILMDPhysical Therapist
05010344AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 5, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Feb 5, 2019 Accepting new patients
Accelerated Rehabilitation Past Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

151 Joliet St
Dyer, IN 46311
Phone (219) 864-0290

3229 Broadway
Gary, IN 46409
Phone (219) 326-2324

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

Organizations & group practices 6

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1205946233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46311",
            "telephone_number": "219-864-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25622 S Governors Hwy",
            "address_purpose": "LOCATION",
            "city": "Monee",
            "state": "IL",
            "postal_code": "604498987",
            "country_code": "US",
            "telephone_number": "708-235-0144",
            "fax_number": "708-235-0145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25622 S Governors Hwy",
            "address_purpose": "LOCATION",
            "city": "Monee",
            "state": "IL",
            "postal_code": "604498987",
            "country_code": "US",
            "telephone_number": "708-235-0144",
            "fax_number": "708-235-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ZORN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "10010456",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010344A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.