Individual provider Active NPI

James Anthony Lopiccolo, DPT,OCS, ATC

  • Physical Therapist
  • Lansing, IL
National Provider Identifier
1588772271
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-012547 Issued in IL
Practice address
2 River PL Ste B
Lansing, IL 60438-6038
Phone
(708) 895-9860
Fax
(708) 895-9866
NPI assigned
Aug 25, 2006
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 070-012547 IL Primary

Addresses

Primary practice location

2 River PL Ste B
Lansing, IL 60438-6038

Mailing address

19742 Durham CT
Mokena, IL 60448-0300
Phone (708) 261-8830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000404 IL Practitioner - Physical Therapist in Private Practice 4880719251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

840 Willow Rd
Suite P
Northbrook, IL 60062-6823
Phone (224) 649-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-012547ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Sep 30, 2023 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Sep 30, 2023 Accepting new patients

Locations

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

1816 170th St
Hazel Crest, IL 60429
Phone (708) 335-1415

2 River Pl
Ste B
Lansing, IL 60438
Phone (708) 895-9860

840 Willow Rd
Ste P
Northbrook, IL 60062
Phone (224) 649-5600

9763 W 143rd St
Ste C
Orland Park, IL 60462
Phone (708) 226-1991

17236 Harlem Ave
Tinley Park, IL 60477
Phone (708) 633-8379

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

Organizations & group practices 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1588772271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19742 DURHAM CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604480300",
            "telephone_number": "708-261-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVER PL STE B",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604386038",
            "telephone_number": "708-895-9860",
            "fax_number": "708-895-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPICCOLO",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "DPT,OCS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-012547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.