Active NPI
Anthony R Serpe, DPT
- Physical Therapist
- Carol Stream, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-017420
- Practice address
- 327 Gundersen Dr
Suite C
Carol Stream, IL 60188-2402 - Phone
- (630) 784-3251
- NPI assigned
- Jan 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-017420 | IL | Primary |
Addresses
Primary practice location
327 Gundersen Dr
Suite C
Carol Stream, IL 60188-2402
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00844078 | Other | IL | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 Macom Dr
Suite 105
Naperville, IL 60564-3206
Phone (815) 676-3856
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-017420 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Brady, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
2340 S Eola Rd
Ste 104
Aurora, IL 60503
Phone (630) 978-9200
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
218 N Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 972-1541
790 Remington Blvd
Bolingbrook, IL 60440
1337 Lily Cache Ln
Bolingbrook, IL 60490
Phone (630) 226-5110
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
1309 Macom Dr
Ste 105
Naperville, IL 60564
Phone (815) 676-3856
12640 S Route 59
Unit 110
Plainfield, IL 60585
Phone (815) 676-3905
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
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.
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1558692467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 GUNDERSEN DR",
"address_2": "SUITE C",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882402",
"telephone_number": "630-784-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERPE",
"first_name": "ANTHONY",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-18",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-017420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00844078",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.