Individual provider Active NPI

Michael Pietrantonio, DPT

  • Physical Therapist
  • Hinsdale, IL
National Provider Identifier
1558810002
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.022597 Issued in IL
Practice address
100 W Chestnut St
Hinsdale, IL 60521-3387
Phone
(630) 481-7350
Fax
(630) 481-7352
NPI assigned
Sep 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 070.022597 IL Primary

Addresses

Primary practice location

100 W Chestnut St
Hinsdale, IL 60521-3387

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

23915 W Main St
Suite A
Plainfield, IL 60544-1967
Phone (815) 609-0570

Other practice location 2

2777 Maple Ave
Lisle, IL 60532-3280
Phone (630) 326-8810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929001432 IL Practitioner - Physical Therapist in Private Practice 2264729599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2777 Maple Ave
Lisle, IL 60532-3280
Phone (630) 326-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.022597ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Oct 10, 2022 Accepting new patients
Athletic &Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Sep 12, 2016 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Sep 12, 2016 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

557 Main St NW
Bourbonnais, IL 60914
Phone (815) 839-2090

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

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

100 W Chestnut St
Hinsdale, IL 60521
Phone (630) 481-7350

2777 Maple Ave
Lisle, IL 60532
Phone (630) 326-8810

1624 S Route 59
Ste 100
Naperville, IL 60564
Phone (331) 249-4088

1480 Douglas Rd
Oswego, IL 60543
Phone (331) 216-0100

23915 W Main St
Ste A
Plainfield, IL 60544
Phone (815) 609-0570

16108 S Route 59
Ste 132
Plainfield, IL 60586
Phone (331) 299-5422

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

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, 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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1558810002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CHESTNUT ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213387",
            "telephone_number": "630-481-7350",
            "fax_number": "630-481-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23915 W Main St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605441967",
            "country_code": "US",
            "telephone_number": "815-609-0570",
            "fax_number": "815-609-1026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2777 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605323280",
            "country_code": "US",
            "telephone_number": "630-326-8810",
            "fax_number": "630-326-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRANTONIO",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.