Individual provider Active NPI

Rachel Annette O'Donnell, PT, DPT, LAT ATC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1467820035
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026356 Issued in IL
Practice address
2320 East 93Rd Street Emergency Department
Chicago, IL 60673-3165
Phone
(773) 967-5430
Fax
(773) 967-4205
NPI assigned
Sep 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.026356 IL Primary
Athletic Trainer 2255A2300X 096.005318 IL

Addresses

Primary practice location

2320 East 93Rd Street Emergency Department
Chicago, IL 60673-3165

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

7900 N Milwaukee Ave Ste 16
Niles, IL 60714-3165
Phone (847) 410-3100

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address rodonnell368552@direct.myadvocateaurora.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216002616 IL Practitioner - Physical Therapist in Private Practice 2567855497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.026356ILMDPhysical Therapist
096.005318ILMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jan 15, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 15, 2025 Accepting new patients
Impact Physical Therapy, LLC Physical Therapist CurrentSince Mar 3, 2024 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101

4746 N Cumberland Ave
Chicago, IL 60656
Phone (773) 417-8901

7900 N Milwaukee Ave
Ste 16
Niles, IL 60714
Phone (847) 268-8200

Interoperability endpoints

  • Direct secure messaging: rodonnell368552@direct.myadvocateaurora.org

Organizations & group practices 4

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": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1467820035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 EAST 93RD STREET EMERGENCY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606733165",
            "telephone_number": "773-967-5430",
            "fax_number": "773-967-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 N Milwaukee Ave Ste 16",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607143165",
            "country_code": "US",
            "telephone_number": "847-410-3100",
            "fax_number": "847-410-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "RACHEL",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, LAT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026356",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.005318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2320 East 93rd Street Emergency Department",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606733165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodonnell368552@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2320 East 93rd Street Emergency Department",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606733165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.