Active NPI
Kevin Fidoruk, PT
- Physical Therapist
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070028247
- Practice address
- 929 W Higgins Rd
Schaumburg, IL 60195-3203 - Phone
- (847) 885-0078
- Fax
- (847) 885-0130
- NPI assigned
- Aug 7, 2015
- Last updated
- Dec 23, 2025
- 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 | 070028247 | IL | Primary |
Addresses
Primary practice location
929 W Higgins Rd
Schaumburg, IL 60195-3203
Mailing address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone (847) 885-0078
Other practice location 1
2011 Grinstead Dr
Suite 102
Louisville, KY 40204-1295
Phone (502) 813-7838
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
864 W Stearns Rd
Bartlett, IL 60103-4800
Phone (847) 285-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.69 of 100
- Quality
- 75.8
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070028247 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Barrington Orthopedic Specialists LTD | Physical Therapist | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients |
Locations
864 W Stearns Rd
Bartlett, IL 60103
Phone (847) 285-4200
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
404 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 285-4200
929 W Higgins Rd
Schaumburg, IL 60195
Phone (847) 285-4200
Interoperability endpoints
- kevin.fidoruk.1@15581.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Schaumburg, IL
- NPI 1336196476
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Durable Medical Equipment & Medical Supplies
- McHenry, IL
- NPI 1346866373
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1609117811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1255717666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203",
"telephone_number": "847-885-0078",
"fax_number": "847-885-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203",
"telephone_number": "847-885-0078",
"fax_number": "847-885-0130"
}
],
"practiceLocations": [
{
"address_1": "2011 Grinstead Dr",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402041295",
"country_code": "US",
"telephone_number": "502-813-7838",
"fax_number": "502-813-7839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIDORUK",
"first_name": "KEVIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-07",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070028247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.