Individual provider Active NPI

Geetha N Thomas, DPT

  • Physical Therapist
  • Roselle, IL
National Provider Identifier
1568088656
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.014671 Issued in IL
Practice address
428 Springwood Dr
Roselle, IL 60172-1077
Phone
(224) 715-9662
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 070.014671 IL Primary

Addresses

Primary practice location

428 Springwood Dr
Roselle, IL 60172-1077

Mailing address

428 Springwood Dr
Roselle, IL 60172-1077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030001814 IL Practitioner - Physical Therapist in Private Practice 3870912223 Reassigns benefits to 4 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
Carol Stream Service CorporationGroup PAC ID 8123055688, 5 clinicians

Practice addresses (Care Compare)

260 E Army Trail Rd
Suite D
Bartlett, IL 60103-3005
Phone (630) 830-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pri Chicago PLLC CurrentSince Jan 13, 2022 Accepting new patients
St. Charles Service Corporation Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Elmhurst Olympic Service Corporation Physical Therapist CurrentSince Feb 9, 2025 Accepting new patients
Carol Stream Service Corporation Physical Therapist CurrentSince May 5, 2024 Accepting new patients
Premiere Anesthesia Group LLC PastSince Jul 1, 2016 Accepting new patients

Locations

260 E Army Trail Rd
Ste D
Bartlett, IL 60103
Phone (630) 830-8600

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

533 S York St
Elmhurst, IL 60126
Phone (630) 833-4437

1615 W Main St
St Charles, IL 60174
Phone (630) 513-0600

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1568088656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SPRINGWOOD DR",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 SPRINGWOOD DR",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721077",
            "telephone_number": "224-715-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GEETHA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.014671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.