Individual provider Active NPI

Ross Graham Copeland, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1689226367
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070024685 Issued in IL
Practice address
3467 S Dr Martin L King Jr Dr
Chicago, IL 60616-4108
Phone
(312) 225-9070
Fax
(312) 225-9072
NPI assigned
Jul 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 070024685 IL Primary

Addresses

Primary practice location

3467 S Dr Martin L King Jr Dr
Chicago, IL 60616-4108

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

1725 S Wabash Ave
Chicago, IL 60616-1219
Phone (312) 922-2777

Other practice location 2

14400 John Humphrey Dr Ste 210
Orland Park, IL 60462-2897
Phone (708) 963-0322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014000148 IL Practitioner - Physical Therapist in Private Practice 0143551739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

3467 S Dr Martin Luther King Jr Dr
Chicago, IL 60616
Phone (312) 225-9070

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Oct 11, 2021 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Revolution PTWL LLC Physical Therapist CurrentSince Aug 23, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients

Locations

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

1226 S Canal St
Chicago, IL 60607
Phone (312) 733-8958

4049 W Diversey Ave
Chicago, IL 60639
Phone (773) 661-0696

3467 S King Dr
Chicago, IL 60616
Phone (312) 225-9070

6560 W Fullerton Ave
Chicago, IL 60707
Phone (773) 745-0338

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

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

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

14400 John Humphrey Dr
Ste 210
Orland Park, IL 60462
Phone (708) 963-0322

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

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

Interoperability endpoints

  • Direct secure messaging: ross.copeland.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 5

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1689226367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 S DR MARTIN L KING JR DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164108",
            "telephone_number": "312-225-9070",
            "fax_number": "312-225-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 S Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606161219",
            "country_code": "US",
            "telephone_number": "312-922-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14400 John Humphrey Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622897",
            "country_code": "US",
            "telephone_number": "708-963-0322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "ROSS",
        "middle_name": "GRAHAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024685",
            "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 Mar 15, 2023; 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.