Individual provider Active NPI

Amy Harmening, PT

  • Physical Therapist
  • Orland Park, IL
National Provider Identifier
1487965745
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11528 W 183Rd St
Orland Park, IL 60467-9467
Phone
(708) 326-1700
Fax
(773) 337-9106
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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 Primary

Addresses

Primary practice location

11528 W 183Rd St
Orland Park, IL 60467-9467

Mailing address

PO Box 66530
Chicago, IL 60666-0530
Phone (708) 326-1700

Other identifiers 1

IdentifierTypeStateIssuer
070018143OtherILLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000633 IL Practitioner - Physical Therapist in Private Practice 3577744416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ebw Physical Therapy LLCGroup PAC ID 6103350335, 3 clinicians

Practice addresses (Care Compare)

3440 W 111TH St
Chicago, IL 60655-3302
Phone (773) 429-8912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Back and Joint PLLC CurrentSince Jan 19, 2023 Accepting new patients
Ebw Physical Therapy LLC Physical Therapist CurrentSince Sep 13, 2024 Accepting new patients
Countryside Medical SC Past Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients
Countryview Medical Center SC Past Accepting new patients

Locations

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

3440 W 111th St
Ste 1
Chicago, IL 60655
Phone (773) 429-8912

3440 W 111th St
Chicago, IL 60655
Phone (773) 429-8912

Organizations & group practices 5

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1487965745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66530",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606660530",
            "telephone_number": "708-326-1700",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11528 W 183RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679467",
            "telephone_number": "708-326-1700",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMENING",
        "first_name": "AMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070018143",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.