Individual provider Active NPI

Alyssa K Zimmerman, PT, DPT

  • Physical Therapist
  • Shorewood, IL
National Provider Identifier
1487921086
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018667 Issued in IL
Practice address
972 Brook Forest Ave
Shorewood, IL 60404-8807
Phone
(815) 439-4938
Fax
(815) 439-7816
NPI assigned
Nov 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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 070018667 IL Primary

Addresses

Primary practice location

972 Brook Forest Ave
Shorewood, IL 60404-8807

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
P01260739OtherILMEDICARE RAILROAD

Other names 1

  • Alyssa K Larocca Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130321000576 IL Practitioner - Physical Therapist in Private Practice 4385889377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletic and Therapeutic Institute of Bourbonnais, LLCGroup PAC ID 4183692577, 171 clinicians

Practice addresses (Care Compare)

336 Ogden Ave
Suite 338
Downers Grove, IL 60515-3141
Phone (630) 437-5428

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopaedics at Rush LLC CurrentSince Apr 27, 2020 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jan 9, 2013 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Apr 27, 2020 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jan 9, 2013 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist Past Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist PastSince Mar 11, 2019 Accepting new patients

Locations

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

120 Burr Ridge Pkwy
Burr Ridge, IL 60527
Phone (630) 570-5025

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513

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

705 W Plainfield Rd
Ste 1
Countryside, IL 60525
Phone (708) 352-1362

7511 Lemont Rd
Ste 204
Darien, IL 60561
Phone (630) 985-4010

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

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

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

460 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 858-8484

3082 Caton Farm Rd
Joliet, IL 60435
Phone (630) 783-2001

1210 State St
Ste 1212
Lemont, IL 60439

18W431 Roosevelt Rd
Lombard, IL 60148
Phone (630) 620-1511

972 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 439-4938

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

7191 S Kingery Hwy
Ste L6
Willowbrook, IL 60527
Phone (630) 455-6630

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

6435 Main St
Ste 110
Woodridge, IL 60517
Phone (630) 964-5406

Organizations & group practices 10

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": "1322352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1487921086",
    "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": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 BROOK FOREST AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048807",
            "telephone_number": "815-439-4938",
            "fax_number": "815-439-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ALYSSA",
        "middle_name": "K",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-27",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01260739",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "LAROCCA",
            "middle_name": "K",
            "credential": "PT.DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shorewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.