Individual provider Active NPI

David A Reavy, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1487611232
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070011211 Issued in IL
Practice address
1520 N Dayton St
Chicago, IL 60642-2522
Phone
(312) 380-1822
Fax
(312) 313-8995
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 070011211 IL Primary

Addresses

Primary practice location

1520 N Dayton St
Chicago, IL 60642-2522

Mailing address

1520 N Dayton St
Chicago, IL 60642-2522
Phone (312) 380-1822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000130 IL Practitioner - Physical Therapist in Private Practice 4183612633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
React Physical Therapy LLC CurrentSince Feb 4, 2008 Accepting new patients
Center for Orthopedic and Rehabilitation Excellence LLC Physical Therapist Past Accepting new patients

Locations

939 W Madison St
Ste 103
Chicago, IL 60607
Phone (312) 243-9350

333 E Benton Pl
Ste 108
Chicago, IL 60601
Phone (312) 929-3646

225 S Sangamon St
Ste 1
Chicago, IL 60607
Phone (312) 243-9350

1520 N Dayton St
Chicago, IL 60642
Phone (312) 380-1822

710 Robert York Ave
Deerfield, IL 60015
Phone (312) 720-6784

1215 Washington Ave
Wilmette, IL 60091
Phone (312) 213-8802

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1487611232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N DAYTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422522",
            "telephone_number": "312-380-1822",
            "fax_number": "312-313-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N DAYTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422522",
            "telephone_number": "312-380-1822",
            "fax_number": "312-313-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVY",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 8, 2024; 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.