Individual provider Active NPI

Jillian M Thompson, PT

  • Physical Therapist
  • Oak Park, IL
National Provider Identifier
1518217207
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-019238 Issued in IL
Practice address
207 Harrison St
Oak Park, IL 60304
Phone
(708) 210-9800
NPI assigned
Sep 11, 2012
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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 070-019238 IL Primary

Addresses

Primary practice location

207 Harrison St
Oak Park, IL 60304

Mailing address

207 Harrison St
Oak Park, IL 60304-1533
Phone (708) 210-9800

Other practice location 1

1611 W Harrison St
Chicago, IL 60612-4861
Phone (312) 432-2513

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130301000071 IL Practitioner - Physical Therapist in Private Practice 4284889023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centre Physical Therapy Riverside LLCGroup PAC ID 6901203074, 5 clinicians

Practice addresses (Care Compare)

1 Riverside Rd
Suite 107
Riverside, IL 60546-2276
Phone (708) 210-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-019238ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopaedics at Rush LLC CurrentSince Aug 20, 2012 Accepting new patients
Centre Physical Therapy Physical Therapist CurrentSince Jul 5, 2019 Accepting new patients
Centre Physical Therapy Riverside LLC Physical Therapist CurrentSince Sep 16, 2021 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Aug 20, 2012 Accepting new patients

Locations

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

2011 York Rd
Ste 1500
Oak Brook, IL 60523
Phone (708) 492-5630

207 Harrison St
Oak Park, IL 60304
Phone (312) 391-8752

1 Riverside Rd
Ste 107
Riverside, IL 60546
Phone (708) 210-9800

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1518217207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041533",
            "telephone_number": "708-210-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60304",
            "telephone_number": "708-210-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124861",
            "country_code": "US",
            "telephone_number": "312-432-2513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-019238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.