Active NPI
Jonathan Landstrom, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022635
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070022635 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Midwest Orthopedic Consultants SC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | 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.
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Orthopaedic Surgery Physician
- Orland Park, IL
- NPI 1457373953
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
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.