Individual provider Active NPI

Jaymee Ann Umali, PT, DPT, MS, CERTDN

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1346569225
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070017115 Issued in IL
Practice address
1301 N Alpine Rd Ste 2
Rockford, IL 61107-2271
Phone
(779) 696-0715
Fax
(779) 696-0710
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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 070017115 IL Primary

Addresses

Primary practice location

1301 N Alpine Rd Ste 2
Rockford, IL 61107-2271

Mailing address

1301 N Alpine Rd Ste 2
Rockford, IL 61107-2271
Phone (779) 696-0715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107001328 IL Practitioner - Physical Therapist in Private Practice 2264823954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

1301 N Alpine Rd
Suite 201
Rockford, IL 61107-2262
Phone (779) 696-0700

6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070017115ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Swedishamerican Hospital CurrentSince Jan 16, 2023 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Swedishamerican Hospital Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients

Locations

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

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

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

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

1419 W Lane Rd
Ste C
Machesney Park, IL 61115
Phone (815) 997-1350

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

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1301 N Alpine Rd
Ste 2
Rockford, IL 61107
Phone (779) 696-0715

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

Organizations & group practices 5

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1346569225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N ALPINE RD STE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072271",
            "telephone_number": "779-696-0715",
            "fax_number": "779-696-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ALPINE RD STE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072271",
            "telephone_number": "779-696-0715",
            "fax_number": "779-696-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMALI",
        "first_name": "JAYMEE",
        "middle_name": "ANN",
        "credential": "PT, DPT, MS, CERTDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

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