Individual provider Active NPI

Andrew Sobarnia

  • Physical Therapist
  • Mount Prospect, IL
National Provider Identifier
1497487920
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
350 W Kensington Rd
Mount Prospect, IL 60056-1141
Phone
(773) 600-4200
NPI assigned
Jun 24, 2022
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 NU Primary

Addresses

Primary practice location

350 W Kensington Rd
Mount Prospect, IL 60056-1141

Mailing address

3517 N Neva Ave
Chicago, IL 60634-3632
Phone (773) 600-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801003002 IL Practitioner - Physical Therapist in Private Practice 6406238864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 W Kensington Rd
Suite 107
Mount Prospect, IL 60056-1141
Phone (773) 600-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Athlete Performance LLC Physical Therapist CurrentSince Apr 5, 2024 Accepting new patients
Vital Rehabilitation Association, Inc. CurrentSince May 11, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

5820 W Irving Park Rd
Chicago, IL 60634
Phone (773) 685-8482

6500 W Irving Park Rd
#G
Chicago, IL 60634
Phone (773) 657-6191

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

350 W Kensington Rd
Mt Prospect, IL 60056
Phone (773) 600-4200

350 W Kensington Rd
Ste 107
Mt Prospect, IL 60056
Phone (773) 600-4200

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

455 E State Pkwy
Ste 105
Schaumburg, IL 60173
Phone (773) 600-4200

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Interoperability endpoints

  • Direct secure messaging: andrew.sobarnia.p9@direct.athleticoltd.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1497487920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 N NEVA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343632",
            "telephone_number": "773-600-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "773-600-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBARNIA",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.