Individual provider Active NPI

Jillian Siriann, DPT

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1518337419
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.021934 Issued in IL
Practice address
5255 W 95TH St
Oak Lawn, IL 60453-2450
Phone
(708) 424-2977
Fax
(708) 424-2988
NPI assigned
Oct 5, 2015
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL
Physical Therapist 225100000X 070.021934 IL Primary

Addresses

Primary practice location

5255 W 95TH St
Oak Lawn, IL 60453-2450

Mailing address

2850 S Wabash Ave
Ste 100
Chicago, IL 60616-2491
Phone (630) 296-2222

Other names 1

  • Jillian Balquiedra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

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

State licenses

LicenseStateTypeSpecialty
070.021934ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Oct 1, 2015 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Oct 1, 2015 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Sep 27, 2019 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Sep 27, 2019 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients

Locations (25 of 39)

12052 S Cicero Ave
Alsip, IL 60803
Phone (708) 489-9940

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

8811 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 741-1080

7708 S Cicero Ave
Burbank, IL 60459
Phone (708) 741-5974

2850 S Wabash Ave
Ste 100
Chicago, IL 60616
Phone (312) 842-4600

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

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

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

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

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

4131 167th St
Country Club Hills, IL 60478
Phone (708) 365-5507

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

3330 W 177th St
Ste 2B
Hazel Crest, IL 60429
Phone (708) 249-8347

9638 S Roberts Rd
Unit B36
Hickory Hills, IL 60457
Phone (708) 237-4270

8735 S Merrion Ln
Hometown, IL 60456
Phone (708) 425-1150

16819 Torrence Ave
Lansing, IL 60438
Phone (708) 394-5215

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

15850 Cicero Ave
Oak Forest, IL 60452
Phone (708) 224-2555

5255 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-2977

13125 S La Grange Rd
Orland Park, IL 60462
Phone (708) 310-6733

15127 S La Grange Rd
Orland Park, IL 60462
Phone (708) 403-4497

11741 Southwest Hwy
Palos Heights, IL 60463
Phone (708) 361-8052

426 E 162nd St
South Holland, IL 60473
Phone (708) 333-0677

Organizations & group practices 6

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1518337419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "address_2": "STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162491",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532450",
            "telephone_number": "708-424-2977",
            "fax_number": "708-424-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIANN",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "BALQUIEDRA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.