Individual provider Active NPI

Bill R. Hitchcock, P.T.

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1285670372
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.018867 Issued in IL
Practice address
326 N Michigan Ave
#324
Chicago, IL 60601-3714
Phone
(312) 229-5271
Fax
(312) 578-0795
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05001006A IN
Physical Therapist 225100000X 070.018867 IL Primary

Addresses

Primary practice location

326 N Michigan Ave
#324
Chicago, IL 60601-3714

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209000385 IL Practitioner - Physical Therapist in Private Practice 5193618668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2731 N Lincoln Ave
Chicago, IL 60614-1320
Phone (312) 698-9857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.018867ILMDPhysical Therapist
05001006AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Mar 28, 2015 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Mar 28, 2015 Accepting new patients
Lakeshore Integrative Healthcare, LTD Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients
Lakefront PT LLC Physical Therapist Current Accepting new patients
Integra Health Center, LLC Physical Therapist PastSince May 2, 2005 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

71 S Wacker Dr
Ste 200A
Chicago, IL 60606

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2731 N Lincoln Ave
Chicago, IL 60614
Phone (312) 520-3274

326 N Michigan Ave
#324
Chicago, IL 60601
Phone (312) 229-5271

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

43 Bankview Dr
Frankfort, IL 60423
Phone (815) 469-6676

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

13019 Wicker Ave
Ste A
Cedar Lake, IN 46303
Phone (219) 374-5451

1407 S Lake Park Ave
#A
Hobart, IN 46342
Phone (219) 947-3637

8317 Calumet Ave
Ste B
Munster, IN 46321
Phone (219) 924-3512

Organizations & group practices 6

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1285670372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N MICHIGAN AVE",
            "address_2": "#324",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013714",
            "telephone_number": "312-229-5271",
            "fax_number": "312-578-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "BILL",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001006A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.018867",
            "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 Jul 9, 2015; 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.