Alfred Raymond Ellsworth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070024499 Issued in IL

Practice address

7315 W Irving Park Rd
Chicago, IL 60634-3547

Phone

(773) 786-2340

Fax

(773) 589-0122

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Saint Louis University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.61 of 100Reported as group

Quality

90

Improvement activities

40

Cost

70.36

Merit-based Incentive Payment System (MIPS)

Final score

90.43 of 100Reported as group

Quality

92.42

Improvement activities

40

Cost

72.83

Merit-based Incentive Payment System (MIPS)

Final score

86.49 of 100Reported as group

Quality

90

Improvement activities

40

Cost

73.3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 30)

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.

• Athletic and Therapeutic Institute of Naperville LLC

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  Medicare reassignment Care Compare group NPD
• Illinois Luna Care Physical Therapy LLC

  • Physical Therapist
  • Naperville, IL
  • NPI 1033755566
  Medicare reassignment Care Compare group NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1861503542
  Medicare reassignment NPD
• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbia, IL
  • NPI 1124766696

  Physical Therapist

  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hazel Crest, IL
  • NPI 1043952641
  NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1700595089

  Physical Therapist

  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • Oswego, IL
  • NPI 1457462053
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1215586359",
    "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": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343547",
            "telephone_number": "773-786-2340",
            "fax_number": "773-589-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "ALFRED",
        "middle_name": "RAYMOND",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Ellison
• Latisha Ellison
• Rachael Ellison, PHD
• Shadon Michele Ellison, B.S.
• Sharon Ello, LCSW
• Brandon Lee Ellsworth, MD MSC
• De'Juan Ellsworth
• Emily Grace Ellsworth I, LCSW
• Martha Louise Ellworth, PT, MA
• Suhaib Ellythy

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.