Richard B Decarlo, PT
Individual provider Active NPI Physical Therapist · Elburn, IL
NPI 1407290448 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1407290448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-010413 (IL)
- Practice address
- 1053 N Main St Ste 200
Elburn, IL 60119-9118 - Phone
- (630) 365-2400
- Fax
- (630) 365-2401
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
1053 N Main St
Suite 200
Elburn, IL 60119-9118
Phone (630) 365-2400
2438 Sycamore Rd
Dekalb, IL 60115-2050
Phone (815) 748-1555
280 N Randall Rd
Lake in the Hills, IL 60156-5903
Phone (847) 854-8219
3865 E Main St
St Charles, IL 60174-2424
Phone (630) 587-5788
407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320
7148 W Higgins Ave
Chicago, IL 60656-1974
Phone (773) 360-5531
722 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 695-5088
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041012000206 | IL | Practitioner - Physical Therapist in Private Practice | 0840250288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-010413 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| US PT Turnkey Services Inc. | Physical Therapist | Past | Accepting new patients |
Locations
6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547
1053 N Main St
Ste 200
Elburn, IL 60119
Phone (630) 356-2400
1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
300 S State St
Marengo, IL 60152
Phone (815) 568-4550
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-010413 | IL | Yes |
Addresses
Primary practice location
1053 N Main St Ste 200
Elburn, IL 60119-9118
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Other names
- Richard Beth De Carlo
Other providers in Elburn, IL
- Colleen Clark
- Jaelyn B Cook
- Lauren Czaja
- David Foss D.C. LTD.
- Robert B Davidson
- John A Donnici
- Dr. Tom Dentistry Elburn, PC
- Nicole Dulski
- Amanda Durbin
- Elburn & Countryside Fire Protection District
All providers in Elburn, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.