Individual provider Active NPI

Mary L Raymond, PT, DHS, MS

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1235300971
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.005390 Issued in IL
Practice address
360 W Butterfield Rd Ste 315
Elmhurst, IL 60126-5068
Phone
(800) 974-4378
Fax
(630) 515-1536
NPI assigned
Mar 21, 2008
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 070.005390 IL Primary

Addresses

Primary practice location

360 W Butterfield Rd Ste 315
Elmhurst, IL 60126-5068

Mailing address

24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Phone (800) 974-4378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050426001435 IL Practitioner - Physical Therapist in Private Practice 5991744294
I20220228001646 FL Practitioner - Physical Therapist in Private Practice 5991744294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Therapy Services of Sanibel, LLCGroup PAC ID 2062550395, 3 clinicians

Practice addresses (Care Compare)

2242 Periwinkle Way
Suite 2
Sanibel, FL 33957-4008
Phone (239) 395-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070.005390ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Therapy Services of Sanibel, LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients

Locations

2242 Periwinkle Way
Ste 2
Sanibel, FL 33957
Phone (239) 395-5858

360 W Butterfield Rd
Ste 315
Elmhurst, IL 60126
Phone (630) 530-4500

793 E Butterfield Rd
Lombard, IL 60148

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

Organizations & group practices 2

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1235300971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 206",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448711",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 315",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265068",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "PT, DHS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.005390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.