Active NPI
Jacob Herberger, DPT, CSCS, ATC
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070025148
- Practice address
- 6187 S Archer Ave Ste B
Chicago, IL 60638-2812 - Phone
- (773) 500-2620
- Fax
- (773) 500-2630
- NPI assigned
- Oct 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096004379 | IL | |
| Physical Therapist | 225100000X | 070025148 | IL | Primary |
Addresses
Primary practice location
6187 S Archer Ave Ste B
Chicago, IL 60638-2812
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6187 S Archer Ave
Suite B
Chicago, IL 60638-2812
Phone (773) 500-2620
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070025148 | IL | MD | Physical Therapist |
| 096004379 | IL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Multi-Specialty | Current | Accepting new patients |
| Evolve Chiropractic Schaumburg PLLC | Multi-Specialty | Current | Accepting new patients |
| Felde Chiropractic PLLC | Multi-Specialty | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Gilberts Evolve PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
3973 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 348-7600
10801 S Western Ave
Chicago, IL 60643
Phone (773) 445-4200
6187 S Archer Ave
Ste B
Chicago, IL 60638
Phone (773) 500-2620
10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990
9738 N State Route 47
Huntley, IL 60142
Phone (847) 227-2990
8317 Ogden Ave
Lyons, IL 60534
Phone (847) 818-0461
1501 E Woodfield Rd
Ste 117E
Schaumburg, IL 60173
Phone (847) 648-4931
9 N 2nd St
St Charles, IL 60174
Phone (630) 526-4200
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Organizations & group practices 5
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.
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1891465142
Multi-Specialty
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1437520343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6187 S ARCHER AVE STE B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382812",
"telephone_number": "773-500-2620",
"fax_number": "773-500-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERGER",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "DPT, CSCS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-19",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096004379",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070025148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.