Individual provider Active NPI

Mollie Basic, DPT

  • Physical Therapist
  • Orland Park, IL
National Provider Identifier
1306132345
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15127 S la Grange Rd
Orland Park, IL 60462-3708
Phone
(708) 403-4497
NPI assigned
Jun 28, 2011
Last updated
Nov 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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 Primary

Addresses

Primary practice location

15127 S la Grange Rd
Orland Park, IL 60462-3708

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Mollie Kimmel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000919 IL Practitioner - Physical Therapist in Private Practice 3577732023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15127 S la Grange Rd
Orland Park, IL 60462-3708
Phone (708) 403-4497

800 Des Plaines Ave
Forest Park, IL 60130-2927
Phone (708) 366-2442

9638 S Roberts Rd
Unit B36
Hickory Hills, IL 60457-2238
Phone (708) 237-4270

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jun 30, 2011 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Feb 4, 2020 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Feb 4, 2020 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Jun 30, 2011 Accepting new patients
Midwest Orthopedic Consultants SC CurrentSince Oct 13, 2024 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients

Locations (25 of 30)

12052 S Cicero Ave
Alsip, IL 60803
Phone (708) 489-9940

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

8811 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 741-1080

7708 S Cicero Ave
Burbank, IL 60459
Phone (708) 741-5974

2850 S Wabash Ave
Ste 100
Chicago, IL 60616
Phone (312) 842-4600

3220 W 115th St
Chicago, IL 60655
Phone (773) 344-3142

3542 E 118th St
Chicago, IL 60617
Phone (773) 435-9020

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

9645 S Western Ave
Chicago, IL 60643
Phone (773) 239-2734

4131 167th St
Country Club Hills, IL 60478
Phone (708) 365-5507

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

3330 W 177th St
Ste 2B
Hazel Crest, IL 60429
Phone (708) 249-8347

9638 S Roberts Rd
Unit B36
Hickory Hills, IL 60457
Phone (708) 237-4270

14035 S Bell Rd
Homer Glen, IL 60491
Phone (708) 645-0423

8735 S Merrion Ln
Hometown, IL 60456
Phone (708) 425-1150

16819 Torrence Ave
Lansing, IL 60438
Phone (708) 394-5215

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

15850 Cicero Ave
Oak Forest, IL 60452
Phone (708) 224-2555

4220 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 226-3300

5255 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-2977

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

13125 S La Grange Rd
Orland Park, IL 60462
Phone (708) 310-6733

15127 S La Grange Rd
Orland Park, IL 60462
Phone (708) 403-4497

Organizations & group practices 7

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1306132345",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623708",
            "telephone_number": "708-403-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIC",
        "first_name": "MOLLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "KIMMEL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.