Individual provider Active NPI

Bethany Richards Ure

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1275642902
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012383 Issued in IL
Practice address
826 W Touhy Ave
Park Ridge, IL 60068-3352
Phone
(847) 720-4165
Fax
(847) 720-4496
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 070012383 IL Primary

Addresses

Primary practice location

826 W Touhy Ave
Park Ridge, IL 60068-3352

Mailing address

826 W Touhy Ave
Park Ridge, IL 60068-3352
Phone (847) 720-4165

Other practice location 1

8600 W Catalpa Ave Ste 708
Chicago, IL 60656-1656
Phone (773) 693-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170320002653 IL Practitioner - Physical Therapist in Private Practice 8628353323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
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)

826 W Touhy Ave
Park Ridge, IL 60068-3352
Phone (847) 720-4165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070012383ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC CurrentSince Jan 4, 2017 Accepting new patients
Rci (WRS), LLC. CurrentSince Jan 4, 2017 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients

Locations

8600 W Catalpa Ave
Ste 708
Chicago, IL 60656
Phone (630) 290-4533

9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201

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

Organizations & group practices 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1275642902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W TOUHY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683352",
            "telephone_number": "847-720-4165",
            "fax_number": "847-720-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W TOUHY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683352",
            "telephone_number": "847-720-4165",
            "fax_number": "847-720-4496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 W Catalpa Ave Ste 708",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606561656",
            "country_code": "US",
            "telephone_number": "773-693-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS URE",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.