Individual provider Active NPI

Joel A Anderson, PT

  • Physical Therapist
  • Addison, IL
National Provider Identifier
1457443152
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014892 Issued in IL
Practice address
1776 W Centennial PL
Addison, IL 60101-1075
Phone
(630) 953-0343
Fax
(630) 953-0353
NPI assigned
Sep 29, 2006
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 070014892 IL Primary

Addresses

Primary practice location

1776 W Centennial PL
Addison, IL 60101-1075

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

11528 183rd Pl
Orland Park, IL 60467-9467
Phone (708) 326-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000776 IL Practitioner - Physical Therapist in Private Practice 5496765570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1776 W Centennial PL FL
Suite 2
Addison, IL 60101-1075
Phone (630) 953-0343

407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320

722 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 695-5088

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Revolution PTWL LLC Physical Therapist CurrentSince Oct 28, 2019 Accepting new patients
Illinois Back and Joint PLLC CurrentSince Jan 19, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Past Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Past Accepting new patients

Locations

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Interoperability endpoints

  • Direct secure messaging: joel.anderson.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1457443152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 W CENTENNIAL PL",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011075",
            "telephone_number": "630-953-0343",
            "fax_number": "630-953-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11528 183rd Pl",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604679467",
            "country_code": "US",
            "telephone_number": "708-326-1700",
            "fax_number": "708-326-1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.