Individual provider Active NPI

Jaclyn Coners, DPT

  • Physical Therapist
  • Matteson, IL
National Provider Identifier
1568168136
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4555 Lincoln Hwy
Matteson, IL 60443-2357
Phone
(708) 283-0021
Fax
(708) 283-0831
NPI assigned
Feb 6, 2023
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 NH Primary
Physical Therapist 225100000X IL

Addresses

Primary practice location

4555 Lincoln Hwy
Matteson, IL 60443-2357

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

124 Broadway Ste A
Saugus, MA 01906-1094
Phone (781) 941-5002

Other practice location 2

2534 E Lincoln Hwy
New Lenox, IL 60451-9712
Phone (815) 462-9420

Other practice location 3

2730 Wilshire Blvd
Santa Monica, CA 90403-4743
Phone (310) 828-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230321001202 CA Practitioner - Physical Therapist in Private Practice 0446624167 Reassigns benefits to 1 organization
I20230628001862 IL Practitioner - Physical Therapist in Private Practice 0446624167 Reassigns benefits to 2 organizations
I20231010001749 MA Practitioner - Physical Therapist in Private Practice 0446624167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jan 8, 2024 Accepting new patients
Adi Rehab, Incorporated Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Rehab Specialists, Inc Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients

Locations

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

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

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

4555 Lincoln Hwy
Matteson, IL 60443
Phone (708) 283-0021

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

2534 E Lincoln Hwy
New Lenox, IL 60451
Phone (815) 462-9420

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

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

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

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

124 Broadway
Ste A
Saugus, MA 01906
Phone (781) 285-5074

Organizations & group practices 10

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1568168136",
    "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": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432357",
            "telephone_number": "708-283-0021",
            "fax_number": "708-283-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Broadway Ste A",
            "address_purpose": "LOCATION",
            "city": "Saugus",
            "state": "MA",
            "postal_code": "019061094",
            "country_code": "US",
            "telephone_number": "781-941-5002",
            "fax_number": "781-813-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2534 E Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519712",
            "country_code": "US",
            "telephone_number": "815-462-9420",
            "fax_number": "815-462-9421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904034743",
            "country_code": "US",
            "telephone_number": "310-828-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONERS",
        "first_name": "JACLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.