Kristopher D Harrison, PHYSICAL THERAPY
Individual provider Active NPI Physical Therapist · Diamond, IL
NPI 1679679187 · NPPES record last updated Nov 29, 2016
Key facts
- NPI
- 1679679187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070013745 (IL)
- Practice address
- 2595 E Division St
Diamond, IL 60416-9794 - Phone
- (815) 634-8420
- Fax
- (815) 634-8430
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletic and Therapeutic Institute of Bourbonnais, LLC
Practice addresses (Care Compare)
2595 E Division St
Diamond, IL 60416-9794
Phone (815) 634-8420
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.61 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 70.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040501000215 | IL | Practitioner - Physical Therapist in Private Practice | 7810985785 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070013745 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2595 E Division St
Diamond, IL 60416
Phone (815) 634-8420
108 Watters Dr
Dwight, IL 60420
Phone (815) 584-5411
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
4555 Lincoln Hwy
Matteson, IL 60443
Phone (708) 283-0021
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
607 W Jourdan St
Newton, IL 62448
Phone (618) 783-2908
5401 N Knoxville Ave
Ste 117
Peoria, IL 61614
Phone (309) 689-8888
924 W Custer Ave
Pontiac, IL 61764
Phone (815) 844-4690
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013745 | IL | Yes |
Addresses
Primary practice location
2595 E Division St
Diamond, IL 60416-9794
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other providers in Diamond, IL
- Christina Christensen
- Laura Connor
- Diamond Medical and Therapy Group, S.C.
- Dr. Joseph Campobasso, P.C.
- Shawn Franzetti
- Ann Marie Jongsma
- Daniel Martin Jurak
- Hilary E Kohs
- Angela June Kostner
- Life Compass Behavioral Health and Wellness, P.C.
All providers in Diamond, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.