Individual provider Active NPI

Kathleen Susan Conwell, DPT, PT, ATC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1598095564
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070017382 Issued in IL
Practice address
9645 S Western Ave
Chicago, IL 60643-1722
Phone
(773) 239-2734
Fax
(773) 239-2784
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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 070017382 IL Primary

Addresses

Primary practice location

9645 S Western Ave
Chicago, IL 60643-1722

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Kathleen Susan Hughes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023001970 IL Practitioner - Physical Therapist in Private Practice 1456660968 Reassigns benefits to 1 organization

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
Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

Practice addresses (Care Compare)

9645 S Western Ave
Chicago, IL 60643-1722
Phone (773) 239-2734

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 Oct 1, 2015 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

12052 S Cicero Ave
Alsip, IL 60803
Phone (708) 489-9940

790 Remington Blvd
Bolingbrook, IL 60440

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

3220 W 115th St
Chicago, IL 60655
Phone (773) 344-3142

9645 S Western Ave
Chicago, IL 60643
Phone (773) 239-2734

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

8735 S Merrion Ln
Hometown, IL 60456
Phone (708) 425-1150

5255 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-2977

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1598095564",
    "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": "9645 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431722",
            "telephone_number": "773-239-2734",
            "fax_number": "773-239-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HUGHES",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.