Individual provider Active NPI

Vickie Kay Nixon, PT

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1356542468
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
180 W Park Ave Ste 250
Elmhurst, IL 60126-3385
Phone
(630) 279-0032
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

180 W Park Ave Ste 250
Elmhurst, IL 60126-3385

Mailing address

110 S Elm St
Mt Prospect, IL 60056-3204
Phone (847) 577-2024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100508000126 IL Practitioner - Physical Therapist in Private Practice 1456489640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Balanced Bodies LLCGroup PAC ID 0244426286, 2 clinicians
Manual Touch Physical TherapyGroup PAC ID 4486834710, 3 clinicians

Practice addresses (Care Compare)

2001 Midwest Rd
Suite 302
Oak Brook, IL 60523-4315
Phone (630) 620-9066

325 N Milwaukee Ave
Suite D
Wheeling, IL 60090-3071
Phone (847) 541-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Bodies LLC CurrentSince Nov 1, 2010 Accepting new patients
Manual Touch Physical Therapy Physical Therapist CurrentSince Aug 6, 2022 Accepting new patients
Centerimt Chicago Il PC Physical Therapist PastSince Aug 6, 2022 Accepting new patients

Locations

2001 Midwest Rd
Ste 302
Oak Brook, IL 60523
Phone (630) 620-9066

325 N Milwaukee Ave
Ste D
Wheeling, IL 60090
Phone (630) 279-0032

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356542468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S ELM ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563204",
            "telephone_number": "847-577-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE STE 250",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263385",
            "telephone_number": "630-279-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "VICKIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.