Individual provider Active NPI

Blake F Helton, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1306409529
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5240 N Pulaski Rd Ste N
Chicago, IL 60630-1761
Phone
(773) 267-6922
Fax
(773) 267-6925
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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 IL Primary

Addresses

Primary practice location

5240 N Pulaski Rd Ste N
Chicago, IL 60630-1761

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822000445 IL Practitioner - Physical Therapist in Private Practice 3779811203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy Partners, LLCGroup PAC ID 3577892710, 3 clinicians

Practice addresses (Care Compare)

1347 W Belmont Ave
Chicago, IL 60657-9676
Phone (773) 360-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy NW LLC Physical Therapist CurrentSince Oct 29, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 15, 2019 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Jan 1, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 15, 2019 Accepting new patients
Advanced Physical Therapy & Health Services LLC. Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Elevate Physical Therapy Partners, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

5240 N Pulaski Rd
Ste N
Chicago, IL 60630
Phone (773) 267-6922

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

444 N Northwest Hwy
Ste 202
Park Ridge, IL 60068
Phone (847) 268-0280

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1306409529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 N PULASKI RD STE N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301761",
            "telephone_number": "773-267-6922",
            "fax_number": "773-267-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "BLAKE",
        "middle_name": "F",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "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 Apr 15, 2019; 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.