Active NPI
Matthew Herring, P.T., D.P.T.
- Physical Therapist
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.021566
- Practice address
- 2100 Glenwood Ave
Joliet, IL 60435-5487 - Phone
- (630) 967-2000
- NPI assigned
- Jan 21, 2016
- 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 | 070.021566 | IL | Primary |
Addresses
Primary practice location
2100 Glenwood Ave
Joliet, IL 60435-5487
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 967-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.021566 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Three Point Healthcare LLC | Physical Therapist | Current | Accepting new patients |
| Premise Health of Illinois Medical PC | Current | Accepting new patients |
Locations
6195 W 115th St
Ste A
Alsip, IL 60803
Phone (312) 262-7002
16906 Collection Ctr Dr
Chicago, IL 60693
1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652
4979 Indiana Ave
Lisle, IL 60532
Phone (312) 337-4150
19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378
5500 Maryland Way
Ste 120
Brentwood, TN 37027
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.
-
- Multi-Specialty Clinic/Center
- Alsip, IL
- NPI 1184362527
-
- Multi-Specialty Clinic/Center
- Utica, IL
- NPI 1295518868
-
- Primary Care Clinic/Center
- Mount Vernon, IL
- NPI 1427366921
-
- Physical Therapist
- Mokena, IL
- NPI 1124535240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1477910446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018",
"telephone_number": "630-967-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 GLENWOOD AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355487",
"telephone_number": "630-967-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRING",
"first_name": "MATTHEW",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.021566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.