Active NPI
Jori L Shea, MPT
- Physical Therapist
- Buffalo Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070010526
- Practice address
- 165 N Arlington Heights Rd
Suite 170
Buffalo Grove, IL 60089-1783 - Phone
- (224) 676-0450
- Fax
- (224) 676-0448
- NPI assigned
- Jul 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070010526 | IL | Primary |
| Physical Therapist | 225100000X | 11584-24 | WI |
Addresses
Primary practice location
165 N Arlington Heights Rd
Suite 170
Buffalo Grove, IL 60089-1783
Mailing address
165 N Arlington Heights Rd
Suite 170
Buffalo Grove, IL 60089-1783
Phone (224) 676-0450
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL6237004 | Other | IL | MEDICARE |
| IL6238004 | Other | IL | MEDICARE |
| 859400060 | Other | WI | MEDICARE |
| IL6697007 | Other | IL | MEDICARE |
| 1386873248 | Medicaid | WI | |
| 539320003 | Other | IL | MEDICARE |
Other names 1
- Jori L Seymour
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Red Oak LN
Suite 100
Lindenhurst, IL 60046-5017
Phone (847) 336-3335
2101 Waukegan Rd
Bannockburn, IL 60015-1836
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Sports Physical Therapy & Rehabilitation Specialists S.C. | Physical Therapist | Past | Accepting new patients |
| Sports Physical Therapy & Rehab Specialists, S.C. | Physical Therapist | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
350 S Greenleaf St
Ste 403
Gurnee, IL 60031
Phone (847) 596-7640
1025 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 245-4601
1025 Red Oak Ln
Ste 100
Lindenhurst, IL 60046
Phone (847) 245-7175
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Physical Therapist
- Kenosha, WI
- NPI 1326150624
-
- Clinic/Center
- Mukwonago, WI
- NPI 1174187975
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1386873248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE 170",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891783",
"telephone_number": "224-676-0450",
"fax_number": "224-676-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE 170",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891783",
"telephone_number": "224-676-0450",
"fax_number": "224-676-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "JORI",
"middle_name": "L",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070010526",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11584-24",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IL6237004",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IL6238004",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "859400060",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IL6697007",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386873248",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "539320003",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JORI",
"last_name": "SEYMOUR",
"middle_name": "L",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.