Active NPI
Scott M Sallin, PT
- Physical Therapist
- Bolingbrook, IL
National Provider Identifier
1275652778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070010195
- Practice address
- 391 S Bolingbrook Dr
Bolingbrook, IL 60440-3411 - Phone
- (630) 243-4820
- NPI assigned
- Mar 28, 2007
- 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 | 070010195 | IL | Primary |
Addresses
Primary practice location
391 S Bolingbrook Dr
Bolingbrook, IL 60440-3411
Mailing address
10100 Forest Hills Rd
Physicians Immediate Care
Machesney Park, IL 61115-8234
Phone (815) 713-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070010195 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic &Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
| Adventist Health Partners,Inc | Past | Accepting new patients | |
| Athletic and Therapeutic Institute of Joliet LLC | Physical Therapist | Past | Accepting new patients |
| Physicians Immediate Care North Chicago LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Glendale Family Practice
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
dba ATI Physical Therapy
- Physical Therapist
- Joliet, IL
- NPI 1598872921
-
dba Athletic and Therapeutic Institute of Joliet at Madison
- Physical Therapist
- Joliet, IL
- NPI 1932249109
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1275652778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 FOREST HILLS RD",
"address_2": "PHYSICIANS IMMEDIATE CARE",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611158234",
"telephone_number": "815-713-2600",
"fax_number": "815-654-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 S BOLINGBROOK DR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604403411",
"telephone_number": "630-243-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLIN",
"first_name": "SCOTT",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070010195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.