Active NPI
Carol A Carli, PT
- Physical Therapist
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-007697
- Practice address
- 1504 Essington Rd Ste B
Joliet, IL 60435 - Phone
- (630) 967-2000
- NPI assigned
- Jan 6, 2006
- Last updated
- Jun 16, 2022
- Sex
- Female
- 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 | 070-007697 | IL | Primary |
Addresses
Primary practice location
1504 Essington Rd Ste B
Joliet, IL 60435
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-1216
Phone (630) 469-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS OF IL | Other | IL | 1619980 |
Other names 1
- Carol A Baskovich
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccarli193911@dulyhealthandcare.direct-ci.com |
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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-007697 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Orthopaedic Group S C | Current | Accepting new patients | |
| Weil Foot and Ankle Institute LLC | Current | Accepting new patients | |
| Weil Foot and Ankle Institute LLC | Current | Accepting new patients | |
| Weil Foot and Ankle Institute LLC | Current | Accepting new patients | |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239
10060 191st St
Mokena, IL 60448
Phone (708) 361-0600
1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924
688 Cedar Crossings Dr
New Lenox, IL 60451
Phone (815) 727-3030
7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600
18425 West Creek Dr
Ste C
Tinley Park, IL 60477
Interoperability endpoints
- carol.carli.p1@direct.parkviewortho.nextgenshare.com
- carol.carlilpt.p1@direct.parkviewortho.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Palos Heights, IL
- NPI 1154350353
-
- Foot & Ankle Surgery Podiatrist
- Mount Prospect, IL
- NPI 1710965314
-
- Clinical Medical Laboratory
- Mount Prospect, IL
- NPI 1154942837
-
- Podiatrist
- Chicago, IL
- NPI 1992678312
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1700864022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606741216",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 ESSINGTON RD STE B",
"city": "JOLIET",
"state": "IL",
"postal_code": "60435",
"telephone_number": "630-967-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLI",
"first_name": "CAROL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-007697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1619980",
"identifier": "BCBS OF IL",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccarli193911@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "1504 Essington Rd Ste B",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "60435",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAROL",
"last_name": "BASKOVICH",
"middle_name": "A",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Joliet, IL
- Cardiology Associates of Northern Illinois (Heartland Cardiovascular Center)
- Cardiology Interpretation of Joliet
- Kandice Cardona
- Jazmin Lizette Cardoso, RN
- Judy Lau Carino, MSN,ANP,PMHNP,APRN
- Regina Carlson, LCPC
- John D Carney, LCSW
- Kara Carr, RD, LDN
- Danielle Carreon, MOT, OTR/L
- Caitlin Ann Carriel, R.PH., PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.