Individual provider Active NPI

Jeff Kiermas, PT

  • Physical Therapist
  • Lake in the Hills, IL
National Provider Identifier
1689421323
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
700 E Oak St
Lake in the Hills, IL 60156-6176
Phone
(847) 766-0011
Fax
(847) 999-6722
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 NU Primary

Addresses

Primary practice location

700 E Oak St
Lake in the Hills, IL 60156-6176

Mailing address

700 E Oak St
Lake in the Hills, IL 60156-6176
Phone (847) 766-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612003577 IL Practitioner - Physical Medicine and Rehabilitation 3274075601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Advanced TherapyGroup PAC ID 1052774460, 7 clinicians

Practice addresses (Care Compare)

700 E Oak Street
Suite 206
Lake in the Hills, IL 60156-6176
Phone (847) 766-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Advanced Therapy Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Given Sports & Physical Therapy, P.C. PastSince Mar 23, 2015 Accepting new patients

Locations

407 E Terra Cotta Ave
Ste E
Crystal Lake, IL 60014
Phone (815) 477-8004

Organizations & group practices 2

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1689421323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OAK ST",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566176",
            "telephone_number": "847-766-0011",
            "fax_number": "847-999-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OAK ST",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566176",
            "telephone_number": "847-766-0011",
            "fax_number": "847-999-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERMAS",
        "first_name": "JEFF",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.