Active NPI
Carl Michael Mueda
- Physical Therapist
- Barrington, IL
National Provider Identifier
1457066649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070026098
- Practice address
- 695 Plum Tree Rd
Barrington, IL 60010-8810 - Phone
- (847) 262-0565
- NPI assigned
- Jan 23, 2023
- Last updated
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070026098 | IL | Primary |
Addresses
Primary practice location
695 Plum Tree Rd
Barrington, IL 60010-8810
Mailing address
695 Plum Tree Rd
Barrington, IL 60010-8810
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
- May accept Medicare assignment
Practice addresses (Care Compare)
2700 N Albany Ave
Apt G
Chicago, IL 60647-1502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070026098 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Home Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
8140 McCormick Blvd
Ste 141
Skokie, IL 60076
Phone (833) 272-8624
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1457066649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 PLUM TREE RD",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600108810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 PLUM TREE RD",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600108810",
"telephone_number": "847-262-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUEDA",
"first_name": "CARL MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070026098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.