Active NPI
Laura Y Joya, DPT
- Physical Therapist
- Third Lake, IL
National Provider Identifier
1376977595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-020211
- Practice address
- 34572 N US Highway 45
Third Lake, IL 60030-4037 - Phone
- (847) 548-3695
- NPI assigned
- Aug 23, 2013
- Sex
- Female
- 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 | 070-020211 | IL | Primary |
Addresses
Primary practice location
34572 N US Highway 45
Third Lake, IL 60030-4037
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980
Other practice location 1
30 Tower Ct
Suite a
Gurnee, IL 60031-3322
Phone (847) 336-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131108000624 | IL | Practitioner - Physical Therapist in Private Practice | 8729213251 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
1500 Waukegan Rd
Suite 250
Glenview, IL 60025-2165
Phone (847) 657-9445
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-020211 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution PTWL LLC | Physical Therapist | Current | Accepting new patients |
Locations
845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255
Organizations & group practices 2
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": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376977595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34572 N US HIGHWAY 45",
"city": "THIRD LAKE",
"state": "IL",
"postal_code": "600304037",
"telephone_number": "847-548-3695"
}
],
"practiceLocations": [
{
"address_1": "30 Tower Ct",
"address_2": "SUITE A",
"address_purpose": "LOCATION",
"city": "Gurnee",
"state": "IL",
"postal_code": "600313322",
"country_code": "US",
"telephone_number": "847-336-1520",
"fax_number": "847-336-1098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOYA",
"first_name": "LAURA",
"middle_name": "Y",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-020211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Third Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.