Individual provider Active NPI

Agnes B Muller-Goldstein, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1699977637
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070011744 Issued in IL
Practice address
4445 W Irving Park Rd Ste 300
Chicago, IL 60641-2808
Phone
(630) 933-1500
Fax
(630) 933-1550
NPI assigned
Jun 1, 2007
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 070011744 IL Primary

Addresses

Primary practice location

4445 W Irving Park Rd Ste 300
Chicago, IL 60641-2808

Mailing address

4445 W Irving Park Rd Ste 300
Chicago, IL 60641-2808
Phone (630) 933-1500

Other identifiers 4

IdentifierTypeStateIssuer
1619908OtherILBCBS IL GROUP
568080OtherINMEDICARE GROUP NUMBER
567700OtherILMEDICARE GROUP NUMBER
568150OtherILMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080329000014 IL Practitioner - Physical Therapist in Private Practice 9133205297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4445 W Irving Park Rd
Suite 300
Chicago, IL 60641-2808
Phone (844) 344-6663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jun 16, 2026 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 16, 2026 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist Past Accepting new patients

Locations

4445 W Irving Park Rd
Ste 300
Chicago, IL 60641
Phone (312) 695-8106

676 N Saint Clair St
Ste 2110
Chicago, IL 60611
Phone (312) 943-7860

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, 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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1699977637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W IRVING PARK RD STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412808",
            "telephone_number": "630-933-1500",
            "fax_number": "630-933-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W IRVING PARK RD STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412808",
            "telephone_number": "630-933-1500",
            "fax_number": "630-933-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER-GOLDSTEIN",
        "first_name": "AGNES",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL GROUP",
            "identifier": "1619908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "568080",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "567700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "568150",
            "state": "IL"
        }
    ],
    "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 Jul 9, 2026; 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.