Individual provider Active NPI

Philip A. Kushner, PT, DPT, OCS

  • Physical Therapist
  • Westmont, IL
National Provider Identifier
1427071638
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014138 Issued in IL
Practice address
760 Pasquinelli Dr
Ste. 304
Westmont, IL 60559-5564
Phone
(630) 568-3076
Fax
(630) 568-3192
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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 070014138 IL Primary

Addresses

Primary practice location

760 Pasquinelli Dr
Ste. 304
Westmont, IL 60559-5564

Mailing address

100 E Walton St
Suite 700
Chicago, IL 60611-1448
Phone (312) 642-3963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000720 IL Practitioner - Physical Therapist in Private Practice 8729045331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve Orthopedic Rehabilitation Institute,IncGroup PAC ID 3274430004, 7 clinicians

Practice addresses (Care Compare)

760 Pasquinelli Dr
Suite 304
Westmont, IL 60559-1290
Phone 63037116233

9121 159TH St
Orland Hills, IL 60487-5901
Phone (630) 371-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Orthopedic Rehabilitation Institute,Inc Physical Therapist CurrentSince Oct 8, 2012 Accepting new patients
South Suburban Open MRI of Orland, LLC Past Accepting new patients

Locations

7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-1623

100 Tower Dr
Ste 120
Burr Ridge, IL 60527
Phone (630) 371-1623

100 E Walton St
Ste 700
Chicago, IL 60611
Phone (312) 642-3963

9121 159th St
Orland Hills, IL 60487
Phone (630) 371-1623

9121 159th St
Ste D
Orland Hills, IL 60487
Phone (708) 403-1155

760 Pasquinelli Dr
Ste 304
Westmont, IL 60559
Phone (630) 371-1623

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1427071638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WALTON ST",
            "address_2": "SUITE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111448",
            "telephone_number": "312-642-3963",
            "fax_number": "312-642-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PASQUINELLI DR",
            "address_2": "STE. 304",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595564",
            "telephone_number": "630-568-3076",
            "fax_number": "630-568-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "PHILIP",
        "middle_name": "A.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.