Individual provider Active NPI

Dariusz Murat, PT

  • Physical Therapist
  • Northbrook, IL
National Provider Identifier
1336248624
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006133 Issued in IL
Practice address
3000 Dundee Rd
Suite 308
Northbrook, IL 60062-2422
Phone
(224) 306-2041
NPI assigned
Sep 22, 2006
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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 070006133 IL Primary

Addresses

Primary practice location

3000 Dundee Rd
Suite 308
Northbrook, IL 60062-2422

Mailing address

560 Greenview LN
Wheeling, IL 60090-3207
Phone (847) 541-5068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000060 IL Practitioner - Physical Therapist in Private Practice 3678593928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Lake Cook Rd
Suite 208
Deerfield, IL 60015-4930
Phone (847) 293-7412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070006133ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Power in Motion Rehabilitation Services, Inc. Physical Therapist CurrentSince Jan 2, 2005 Accepting new patients
Vestra Rehabilitation Services, Inc Physical Therapist CurrentSince Apr 29, 2013 Accepting new patients
Allied Psychological Services LTD CurrentSince Mar 7, 2011 Accepting new patients

Locations

400 Lake Cook Rd
Ste 208
Deerfield, IL 60015
Phone (847) 293-7412

501 Peterson Rd
Ste 101
Libertyville, IL 60048
Phone (847) 680-3828

3000 Dundee Rd
Ste 308
Northbrook, IL 60062
Phone (224) 306-2041

Organizations & group practices 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1336248624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GREENVIEW LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903207",
            "telephone_number": "847-541-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD",
            "address_2": "SUITE 308",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622422",
            "telephone_number": "224-306-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAT",
        "first_name": "DARIUSZ",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.