Individual provider Active NPI

Vanesia Spencer, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1487989091
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013465 Issued in IL
Practice address
5616 W 63Rd St
Chicago, IL 60638-5511
Phone
(773) 526-5239
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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 070013465 IL Primary

Addresses

Primary practice location

5616 W 63Rd St
Chicago, IL 60638-5511

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
P00931579OtherILMEDICARE RAILROAD
P00846573OtherILMEDICARE RAILROAD

Other names 1

  • Vanesia Seaton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000361 IL Practitioner - Physical Therapist in Private Practice 6709924152 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
Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

Practice addresses (Care Compare)

1340 E 47TH St
Chicago, IL 60653-4508
Phone (773) 496-5147

800 Des Plaines Ave
Forest Park, IL 60130-2927
Phone (708) 366-2442

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
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Dec 1, 2010 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Dec 1, 2010 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

Locations

790 Remington Blvd
Bolingbrook, IL 60440

3220 W 115th St
Chicago, IL 60655
Phone (773) 344-3142

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

3008 S Halsted St
Ste 116
Chicago, IL 60608
Phone (312) 842-1205

3233 W Addison St
Chicago, IL 60618
Phone (773) 478-0496

3542 E 118th St
Chicago, IL 60617
Phone (773) 435-9020

326 N Michigan Ave
Ste 324
Chicago, IL 60601
Phone (312) 229-5271

1340 E 47th St
Chicago, IL 60653
Phone (773) 496-5147

600 W Van Buren St
Ste 106
Chicago, IL 60607
Phone (312) 268-6050

4307 S Pulaski Rd
Chicago, IL 60632
Phone (773) 916-4673

1226 S Canal St
Chicago, IL 60607
Phone (312) 733-8958

9645 S Western Ave
Chicago, IL 60643
Phone (773) 239-2734

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

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

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1487989091",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385511",
            "telephone_number": "773-526-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "VANESIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00931579",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00846573",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESIA",
            "last_name": "SEATON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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, 2013; 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.