Individual provider Active NPI

Amelia Calapatia-Poirot

  • Physical Therapist
  • Hawthorn Woods, IL
National Provider Identifier
1609264753
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070009500 Issued in IL
Practice address
3 Sandpiper LN
Hawthorn Woods, IL 60047-7518
Phone
(630) 750-5298
NPI assigned
Dec 23, 2014
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 070009500 IL Primary

Addresses

Primary practice location

3 Sandpiper LN
Hawthorn Woods, IL 60047-7518

Mailing address

3 Sandpiper LN
Hawthorn Woods, IL 60047-7518
Phone (630) 750-5298

Other practice location 1

10751 Worthington Cir
Parker, CO 80134-4901
Phone (630) 750-5298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180901000094 IL Practitioner - Physical Therapist in Private Practice 6103176748 Reassigns benefits to 4 organizations
I20260323000403 MO Practitioner - Physical Therapist in Private Practice 6103176748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

14595 W Rockland Rd
Libertyville, IL 60048-9700
Phone (224) 433-6480

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070009500ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Mar 29, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

795 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-6100

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 981-8000

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 7

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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1609264753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SANDPIPER LN",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600477518",
            "telephone_number": "630-750-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SANDPIPER LN",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600477518",
            "telephone_number": "630-750-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10751 Worthington Cir",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801344901",
            "country_code": "US",
            "telephone_number": "630-750-5298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALAPATIA-POIROT",
        "first_name": "AMELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorn Woods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.