Individual provider Active NPI

Melissa S Walker, PT CLT

  • Physical Therapist
  • Vernon Hills, IL
National Provider Identifier
1528027661
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022987 Issued in IL
Practice address
555 E Townline Rd Ste 24
Vernon Hills, IL 60061-1552
Phone
(847) 573-0051
Fax
(847) 573-0345
NPI assigned
Mar 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 QA00696700 NJ
Physical Therapist 225100000X 070022987 IL Primary

Addresses

Primary practice location

555 E Townline Rd Ste 24
Vernon Hills, IL 60061-1552

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 590-4029

Other practice location 1

1900 Arena Dr
Hamilton, NJ 08610
Phone (609) 585-2333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818001509 IL Practitioner - Physical Therapist in Private Practice 4486680857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

555 E Townline Rd
24 Athletico Physical Therapy
Vernon Hills, IL 60061-1552
Phone (847) 573-0051

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA00696700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Aug 18, 2017 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 18, 2017 Accepting new patients
Twin Boro Physical Therapy Associates, PA Past Accepting new patients
Centers for Physical Therapy @ St. Frances Physical Therapist Past Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist PastSince Jan 3, 2000 Accepting new patients

Locations

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

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

1352 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 549-1460

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

1186 W Maple Ave
Mundelein, IL 60060
Phone (847) 970-7099

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

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

555 E Townline Rd
Ste 24
Vernon Hills, IL 60061
Phone (847) 573-0051

Organizations & group practices 5

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": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528027661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-590-4029",
            "fax_number": "630-590-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TOWNLINE RD STE 24",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611552",
            "telephone_number": "847-573-0051",
            "fax_number": "847-573-0345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Arena Dr",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "08610",
            "country_code": "US",
            "telephone_number": "609-585-2333",
            "fax_number": "609-585-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MELISSA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PT CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00696700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.