Individual provider Active NPI

Jacob Herberger, DPT, CSCS, ATC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1437520343
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070025148 Issued in IL
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

Updated by the provider on Mar 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 096004379 IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20210209001594 IL Practitioner - Physical Therapist in Private Practice 0941615793 Reassigns benefits to 2 organizations

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
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

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 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070025148ILMDPhysical Therapist
096004379ILMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Multi-Specialty CurrentSince Nov 18, 2021 Accepting new patients
Evolve Chiropractic Schaumburg PLLC Multi-Specialty CurrentSince Oct 13, 2020 Accepting new patients
Felde Chiropractic PLLC Multi-Specialty CurrentSince Oct 13, 2020 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 18, 2021 Accepting new patients
Gilberts Evolve PLLC Multi-Specialty PastSince Jun 1, 2020 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.

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.

Verify at the official NPI Registry.