Individual provider Active NPI

Roland Saucier

  • Physical Therapist
  • Dyer, IN
National Provider Identifier
1366894495
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1100 Joliet St
105
Dyer, IN 46311-1996
Phone
(219) 864-3300
Fax
(219) 864-2567
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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 Primary

Addresses

Primary practice location

1100 Joliet St
105
Dyer, IN 46311-1996

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other practice location 1

2213 Main St
Highland, IN 46322-3514
Phone (219) 202-8583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829002046 IN Practitioner - Physical Therapist in Private Practice 6002101193 Reassigns benefits to 3 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
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

1100 Joliet St
Suite 105
Dyer, IN 46311-1995
Phone (219) 864-3300

5178 Franklin St
Michigan City, IN 46360-7878
Phone (219) 879-2523

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Aug 2, 2016 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 26, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 2, 2016 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 26, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

4555 Lincoln Hwy
Matteson, IL 60443
Phone (708) 283-0021

906 N Main St
Crown Point, IN 46307
Phone (219) 213-7030

1100 Joliet St
Ste 105
Dyer, IN 46311
Phone (219) 864-3300

217 N Broad St
Griffith, IN 46319
Phone (219) 924-1500

7443 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 844-8100

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

1407 S Lake Park Ave
#A
Hobart, IN 46342
Phone (219) 947-3637

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

181 Deanna Dr
#C
Lowell, IN 46356
Phone (219) 696-0988

8455 Broadway
Merrillville, IN 46410
Phone (219) 769-7211

5178 Franklin St
Michigan City, IN 46360
Phone (219) 879-2523

300 Ridge Rd
Munster, IN 46321
Phone (219) 836-0027

Organizations & group practices 6

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1366894495",
    "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": "1100 JOLIET ST",
            "address_2": "105",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111996",
            "telephone_number": "219-864-3300",
            "fax_number": "219-864-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Main St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223514",
            "country_code": "US",
            "telephone_number": "219-202-8583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUCIER",
        "first_name": "ROLAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.