Active NPI
Christopher David Pagliarulo, PT
- Physical Therapist
- New Lenox, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070009419
- Practice address
- 2534 E Lincoln Hwy
New Lenox, IL 60451-9712 - Phone
- (815) 462-9420
- NPI assigned
- Feb 14, 2008
- Last updated
- Nov 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070009419 | IL | Primary |
Addresses
Primary practice location
2534 E Lincoln Hwy
New Lenox, IL 60451-9712
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19805 S la Grange Rd
Mokena, IL 60448-8348
Phone (708) 938-3378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070009419 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Point Healthcare LLC | Physical Therapist | Current | Accepting new patients |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Mokena Family Physicians LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
400 S Kennedy Dr
Ste 100
Bradley, IL 60915
Phone (815) 928-8050
5057 Paysphere Cir
Chicago, IL 60674
19552 S Harlem Ave
Frankfort, IL 60423
Phone (815) 464-3525
1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652
19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Physical Therapist
- Mokena, IL
- NPI 1124535240
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- NPI 1205922432
-
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- NPI 1962219568
-
- Clinic/Center
- Mokena, IL
- NPI 1740359876
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1366610180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2534 E LINCOLN HWY",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519712",
"telephone_number": "815-462-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGLIARULO",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070009419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.