Active NPI
Beverly Anne Ortiz, PT, DPT
- Physical Therapist
- Countryside, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.015128
- Practice address
- 705 W Plainfield Rd
Suite 1
Countryside, IL 60525-3684 - Phone
- (708) 352-1362
- Fax
- (708) 352-1365
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.015128 | IL | Primary |
Addresses
Primary practice location
705 W Plainfield Rd
Suite 1
Countryside, IL 60525-3684
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160323000166 | IL | Practitioner - Physical Therapist in Private Practice | 3173820917 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Illinois Bone and Joint Institute, LLC
Practice addresses (Care Compare)
1010 Executive Dr
Suite 250
Westmont, IL 60559-6137
Phone (630) 920-2350
2101 Waukegan Rd
Bannockburn, IL 60015-1836
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.015128 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
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
5057 Paysphere Cir
Chicago, IL 60674
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
705 W Plainfield Rd
Ste 1
Countryside, IL 60525
Phone (708) 352-1362
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
939 Burlington Ave
Downers Grove, IL 60515
Phone (630) 963-8505
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
1010 Executive Dr
Ste 250
Westmont, IL 60559
Phone (630) 655-8785
1010 Executive Dr
Ste 230
Westmont, IL 60559
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
Organizations & group practices 8
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.
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
IL, Physical Therapist
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
IL, Physical Therapist
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
IL
-
- Physical Therapist
- Bloomingdale, IL
- NPI 1306177910
-
- Physical Therapist
- Naperville, IL
- NPI 1194906669
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1508018367",
"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": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 W PLAINFIELD RD",
"address_2": "SUITE 1",
"city": "COUNTRYSIDE",
"state": "IL",
"postal_code": "605253684",
"telephone_number": "708-352-1362",
"fax_number": "708-352-1365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "BEVERLY ANNE",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.015128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Countryside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.