Individual provider Active NPI

Kathryn Bernadette Tax, DPT

  • Physical Therapist
  • Mount Prospect, IL
National Provider Identifier
1467802199
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.022432 Issued in IL
Practice address
1 W Rand Rd
Unit a
Mount Prospect, IL 60056-1137
Phone
(847) 590-5241
Fax
(847) 590-5248
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 070.022432 IL Primary

Addresses

Primary practice location

1 W Rand Rd
Unit a
Mount Prospect, IL 60056-1137

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Kathryn Colmone Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906001159 IL Practitioner - Physical Therapist in Private Practice 3173819935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians
Athletic and Therapeutic Institute of Bourbonnais, LLCGroup PAC ID 4183692577, 171 clinicians

Practice addresses (Care Compare)

1 W Rand Rd
Suite a
Mount Prospect, IL 60056-1137
Phone (847) 590-5241

1628 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 253-2944

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.022432ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince May 1, 2020 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Aug 15, 2016 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 15, 2016 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations (25 of 31)

500 W Lake St
Addison, IL 60101
Phone (630) 607-1820

1628 W Central Rd
Arlington Hts, IL 60005
Phone (847) 253-2944

1057 S York Rd
Bensenville, IL 60106
Phone (630) 350-2736

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

7000 Broadview Village Sq
Broadview, IL 60155
Phone (708) 865-5742

1226 S Canal St
Chicago, IL 60607
Phone (312) 733-8958

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1469 Ellinwood Ave
Des Plaines, IL 60016
Phone (847) 635-6896

925 Meacham Rd
Elk Grove Vlg, IL 60007
Phone (847) 923-6858

197 E Butterfield Rd
Elmhurst, IL 60126
Phone (630) 834-0478

109 Harlem Ave
Unit A
Forest Park, IL 60130

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

109 Harlem Ave
Forest Park, IL 60130
Phone (708) 488-1408

1 N La Grange Rd
Unit 2C
Lagrange Hlds, IL 60525
Phone (708) 698-5680

900 Milwaukee Ave
Lincolnshire, IL 60069
Phone (847) 415-8800

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

1 W Rand Rd
Ste A
Mount Prospect, IL 60056
Phone (847) 590-5241

8480 W Golf Rd
Niles, IL 60714
Phone (847) 470-0023

1122 Willow Rd
Ste A
Northbrook, IL 60062
Phone (847) 504-4100

780 W Northwest Hwy
Palatine, IL 60067
Phone (847) 701-0209

951 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 292-0151

1406 Golf Rd
Rolling Meadows, IL 60008
Phone (312) 924-2428

2562 W Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 519-3485

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1467802199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RAND RD",
            "address_2": "UNIT A",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561137",
            "telephone_number": "847-590-5241",
            "fax_number": "847-590-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAX",
        "first_name": "KATHRYN",
        "middle_name": "BERNADETTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "COLMONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.