Individual provider Active NPI

Jonathan Landstrom, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1669921797
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022635 Issued in IL
Practice address
9645 S Western Ave
Chicago, IL 60643-1722
Phone
(773) 239-9645
NPI assigned
Sep 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 070022635 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001337 IL Practitioner - Physical Therapist in Private Practice 0648558825 Reassigns benefits to 2 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
Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

Practice addresses (Care Compare)

3220 W 115TH St
Chicago, IL 60655-2805
Phone (773) 344-3142

5255 W 95TH St
Oak Lawn, IL 60453-2450
Phone (708) 424-2977

800 Des Plaines Ave
Forest Park, IL 60130-2927
Phone (708) 366-2442

9638 S Roberts Rd
Unit B36
Hickory Hills, IL 60457-2238
Phone (708) 237-4270

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

State licenses

LicenseStateTypeSpecialty
070022635ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jun 2, 2016 Accepting new patients
Midwest Orthopedic Consultants SC CurrentSince Oct 13, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jun 2, 2016 Accepting new patients

Locations

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

790 Remington Blvd
Bolingbrook, IL 60440

8811 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 741-1080

7708 S Cicero Ave
Burbank, IL 60459
Phone (708) 741-5974

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

4307 S Pulaski Rd
Chicago, IL 60632
Phone (773) 916-4673

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

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

3542 E 118th St
Chicago, IL 60617
Phone (773) 435-9020

4131 167th St
Country Club Hills, IL 60478
Phone (708) 365-5507

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

9638 S Roberts Rd
Unit B36
Hickory Hills, IL 60457
Phone (708) 237-4270

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

4220 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 226-3300

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

13125 S La Grange Rd
Orland Park, IL 60462
Phone (708) 671-1971

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

11741 Southwest Hwy
Palos Heights, IL 60463
Phone (708) 361-8052

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

Organizations & group practices 3

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1669921797",
    "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",
            "fax_number": "630-759-9510"
        },
        {
            "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": "773-239-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSTROM",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 30, 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.