Individual provider Active NPI

Mariallayna Ramadan-Brank, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1548066251
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070029078 Issued in IL
Practice address
150 E Huron St Ste 700
Chicago, IL 60611-2999
Phone
(312) 640-1112
Fax
(312) 640-1011
NPI assigned
Feb 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 307668 CA
Physical Therapist 225100000X 070029078 IL Primary

Addresses

Primary practice location

150 E Huron St Ste 700
Chicago, IL 60611-2999

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

186 Terrace Dr Apt D
Vista, CA 92084-6157
Phone (909) 333-8462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250314002842 CA Practitioner - Physical Therapist in Private Practice 7416479852 Reassigns benefits to 1 organization
I20250730000782 IL Practitioner - Physical Therapist in Private Practice 7416479852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
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)

150 E Huron St
Suite 700
Chicago, IL 60611-2999
Phone (312) 640-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307668CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proresults Physical Therapy Inc. Physical Therapist CurrentSince Feb 28, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients

Locations

137 S Las Posas Rd
Ste 254
San Marcos, CA 92078
Phone (760) 290-3121

150 E Huron St
Ste 700
Chicago, IL 60611
Phone (312) 640-1112

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

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

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

Organizations & group practices 3

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": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1548066251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HURON ST STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112999",
            "telephone_number": "312-640-1112",
            "fax_number": "312-640-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Terrace Dr Apt D",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920846157",
            "country_code": "US",
            "telephone_number": "909-333-8462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMADAN-BRANK",
        "first_name": "MARIALLAYNA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307668",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070029078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.