Individual provider Active NPI

Elizabeth Yerly Hilsen, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1316997919
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014076 Issued in IL
Practice address
1103 S State St Ste 300
Chicago, IL 60605-2775
Phone
(312) 877-5101
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 070014076 IL Primary
Athletic Trainer 2255A2300X 096001999 IL

Addresses

Primary practice location

1103 S State St Ste 300
Chicago, IL 60605-2775

Mailing address

1103 S State St Ste 300
Chicago, IL 60605-2775
Phone (312) 877-5101

Other identifiers 1

IdentifierTypeStateIssuer
US DEPT OF LABOROtherIL367885100

Other names 1

  • Elizabeth Ann Yerly Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000346 IL Practitioner - Physical Therapist in Private Practice 4082664065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physical Therapy, LLCGroup PAC ID 2466998398, 43 clinicians

Practice addresses (Care Compare)

1103 S State St
Suite 300
Chicago, IL 60605-2775
Phone (312) 877-5101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070014076ILMDPhysical Therapist
096001999ILMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Ipt Management Services, Inc. Physical Therapist CurrentSince May 2, 2016 Accepting new patients

Locations

1131 S State St
Chicago, IL 60605
Phone (312) 588-0508

1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101

116 W Gartner Rd
Ste 104
Naperville, IL 60540
Phone (331) 229-3632

Organizations & group practices 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1316997919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S STATE ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052775",
            "telephone_number": "312-877-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S STATE ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052775",
            "telephone_number": "312-877-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILSEN",
        "first_name": "ELIZABETH",
        "middle_name": "YERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014076",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096001999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "367885100",
            "identifier": "US DEPT OF LABOR",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "YERLY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 10, 2024; 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.