Individual provider Active NPI

Philip Olasa, PT

  • Physical Therapist
  • Mount Prospect, IL
National Provider Identifier
1528145299
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.011911 Issued in IL
Practice address
1698 S Elmhurst Rd Ste 110
Mount Prospect, IL 60056-5517
Phone
(847) 786-2014
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 070.011911 IL Primary

Addresses

Primary practice location

1698 S Elmhurst Rd Ste 110
Mount Prospect, IL 60056-5517

Mailing address

PO Box 404
Elmhurst, IL 60126-0404
Phone (847) 786-2014

Other practice location 1

17W699 Roosevelt Rd
Oakbrook Terrace, IL 60181-3545
Phone (847) 786-2014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114000336 IL Practitioner - Physical Therapist in Private Practice 4284869249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emery Physical Therapy LLCGroup PAC ID 6204061260, 3 clinicians

Practice addresses (Care Compare)

1698 S Elmhurst Rd
Suite 110
Mount Prospect, IL 60056-5517
Phone (847) 786-2014

17 W685 Roosevelt Rd
Oakbrook Terrace, IL 60181-3545
Phone (847) 786-2014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.011911ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emery Physical Therapy LLC Physical Therapist CurrentSince Mar 20, 2013 Accepting new patients
Mre Physical Therapy LTD. Current Accepting new patients

Locations

2380 S Elmhurst Rd
Mt Prospect, IL 60056
Phone (847) 228-5557

1698 S Elmhurst Rd
Ste 110
Mt Prospect, IL 60056
Phone (847) 786-2014

2380 S Elmhurst Rd
Ste 100
Mt Prospect, IL 60056
Phone (224) 634-1907

17W699 Roosevelt Rd
Oakbrook Terrace, IL 60181
Phone (224) 210-1436

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1528145299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601260404",
            "telephone_number": "847-786-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 S ELMHURST RD STE 110",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565517",
            "telephone_number": "847-786-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W699 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601813545",
            "country_code": "US",
            "telephone_number": "847-786-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLASA",
        "first_name": "PHILIP",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.011911",
            "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 Oct 15, 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.