Active NPI
Bradley A Trompeter, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1275845489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070017929
- Practice address
- 10 S Clinton St
Chicago, IL 60661-3400 - Phone
- (312) 234-9958
- Fax
- (312) 234-9962
- NPI assigned
- Jul 6, 2010
- Last updated
- Jan 19, 2022
- 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 | 070017929 | IL | Primary |
Addresses
Primary practice location
10 S Clinton St
Chicago, IL 60661-3400
Mailing address
10 S Clinton St
Chicago, IL 60661-3400
Phone (312) 234-9958
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 |
|---|---|---|---|
| 070017929 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 606 Physio LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1275845489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 S CLINTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606613400",
"telephone_number": "312-234-9958",
"fax_number": "312-234-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S CLINTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606613400",
"telephone_number": "312-234-9958",
"fax_number": "312-234-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMPETER",
"first_name": "BRADLEY",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070017929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.