Individual provider Active NPI

Jesse Larson, DPT

  • Orthopedic Physical Therapist
  • Lake in the Hills, IL
National Provider Identifier
1215597372
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070.024525 Issued in IL
Practice address
411 N Randall Rd Ste F
Lake in the Hills, IL 60156-6335
Phone
(847) 854-9754
NPI assigned
Jun 19, 2019
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 NU
Orthopedic Physical Therapist 2251X0800X 070.024525 IL Primary

Addresses

Primary practice location

411 N Randall Rd Ste F
Lake in the Hills, IL 60156-6335

Mailing address

411 N Randall Rd Ste F
Lake in the Hills, IL 60156-6335
Phone (847) 854-9754

Other practice location 1

12531 Regency Pkwy
Huntley, IL 60142-6500
Phone (847) 659-1000

Other practice location 2

23909 W Renwick Rd Ste 101
Plainfield, IL 60544-2109
Phone (815) 436-6900

Other practice location 3

10309 W Lincoln Hwy
Frankfort, IL 60423-1280
Phone (815) 469-9515

Other practice location 4

1240 Essington Rd Ste 100
Joliet, IL 60435-8409
Phone (815) 744-7108

Other practice location 5

133 W Oak Knoll Dr
Hampshire, IL 60140-9720
Phone (847) 683-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930003077 IL Practitioner - Physical Therapist in Private Practice 2466782768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

411 N Randall Rd
Unit F
Lake in the Hills, IL 60156-6335
Phone (847) 854-9754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.024525ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightmore Physical Therapy LTD Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Rci (WRS), LLC. CurrentSince Sep 5, 2023 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Rci (WRS), LLC CurrentSince Sep 5, 2023 Accepting new patients
Rci (WRS), LLC. CurrentSince Jul 13, 2025 Accepting new patients
TJ Corporation I LLC PastSince Jul 13, 2025 Accepting new patients
Moffett Physical Therapy PastSince Nov 1, 2021 Accepting new patients
Moffett Physical Therapy, Inc. Past Accepting new patients

Locations

10309 W Lincoln Hwy
Frankfort, IL 60423
Phone (309) 370-3751

1240 Essington Rd
Ste 100
Joliet, IL 60435
Phone (815) 744-7108

411 N Randall Rd
Ste F
Lake in the Hills, IL 60156
Phone 8478549754 ext. 26265

411 N Randall Rd
Unit F
Lake in the Hills, IL 60156
Phone (585) 690-3692

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

23909 W Renwick Rd
Ste 101
Plainfield, IL 60544
Phone (815) 436-6900

Organizations & group practices 8

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1215597372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N RANDALL RD STE F",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566335",
            "telephone_number": "847-854-9754",
            "fax_number": "847-658-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N RANDALL RD STE F",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566335",
            "telephone_number": "847-854-9754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12531 Regency Pkwy",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601426500",
            "country_code": "US",
            "telephone_number": "847-659-1000",
            "fax_number": "847-659-1012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23909 W Renwick Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442109",
            "country_code": "US",
            "telephone_number": "815-436-6900",
            "fax_number": "815-436-6901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10309 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604231280",
            "country_code": "US",
            "telephone_number": "815-469-9515",
            "fax_number": "815-469-9570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Essington Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358409",
            "country_code": "US",
            "telephone_number": "815-744-7108",
            "fax_number": "815-744-7057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 W Oak Knoll Dr",
            "address_purpose": "LOCATION",
            "city": "Hampshire",
            "state": "IL",
            "postal_code": "601409720",
            "country_code": "US",
            "telephone_number": "847-683-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JESSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.024525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.