Individual provider Active NPI

Brandi Hosford, PT,DPT

  • Physical Therapist
  • Morton Grove, IL
National Provider Identifier
1497324792
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.24981 Issued in IL
Practice address
9000 Waukegan Rd Ste 100
Morton Grove, IL 60053-2128
Phone
(847) 779-6050
Fax
(847) 929-1167
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 070.24981 IL Primary

Addresses

Primary practice location

9000 Waukegan Rd Ste 100
Morton Grove, IL 60053-2128

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719000914 IL Practitioner - Physical Therapist in Private Practice 7618379306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Achieve Orthopedic Sports Institute LLC 10 clinicians

Practice addresses (Care Compare)

6300 Kingery Hwy
Suite 204
Willowbrook, IL 60527-2326
Phone (630) 891-3980

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.24981ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Achieve Orthopedic Sports Institute, LLC CurrentSince Aug 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 1, 2021 Accepting new patients

Locations

7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-1623

1640 W Roosevelt Rd
Ste 336
Chicago, IL 60608
Phone (312) 355-3996

1640 W Roosevelt Rd
Rm 336
Chicago, IL 60608
Phone (312) 413-1563

1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871

1315 Macom Dr
Ste 105108
Naperville, IL 60564
Phone (331) 213-7247

6300 Kingery Hwy
Ste 204
Willowbrook, IL 60527
Phone (630) 891-3980

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1497324792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD STE 100",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532128",
            "telephone_number": "847-779-6050",
            "fax_number": "847-929-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSFORD",
        "first_name": "BRANDI",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.24981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.