Active NPI
Hemal Modi, P.T.
- Physical Therapist
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070011869
- Practice address
- 9301 Golf Rd
Des Plaines, IL 60016-1667 - Phone
- (184) 739-1972
- Fax
- (773) 767-3944
- NPI assigned
- Feb 13, 2006
- 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 | 070011869 | IL | Primary |
Addresses
Primary practice location
9301 Golf Rd
Des Plaines, IL 60016-1667
Mailing address
9301 Golf Rd
Des Plaines, IL 60016-1667
Phone (184) 739-1972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635425 | Other | IL | BC/BS PROVIDER # |
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9301 Golf Rd
Suite 204
Des Plaines, IL 60016-1687
Phone (847) 391-9720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Foot and Ankle Surgery Facility, LTD | Physical Therapist | Past | Accepting new patients |
| Lake County Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Dynacare Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
9301 Golf Rd
Ste 204
Des Plaines, IL 60016
Phone (847) 297-3347
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Aquarius Home Care, LLC | Home health agency | Other | Jan 17, 2024 |
| Avotre Home Health, Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (5%) | Mar 22, 2019 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Des Plaines, IL
- NPI 1225697048
5% Or Greater Direct Ownership Interest
Organizations & group practices 4
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
- Des Plaines, IL
- NPI 1205842986
-
- Physical Therapist
- Des Plaines, IL
- NPI 1598763864
-
dba Regenerative Surgery Center
- Ambulatory Surgical Clinic/Center
- Des Plaines, IL
- NPI 1619981479
Physical Therapist
-
- Physical Therapist
- Mundelein, IL
- NPI 1851487581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1700859428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 GOLF RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161667",
"telephone_number": "184-739-1972",
"fax_number": "773-767-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 GOLF RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161667",
"telephone_number": "184-739-1972",
"fax_number": "773-767-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "HEMAL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "01635425",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.