Individual provider Active NPI

Carol A Carli, PT

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1700864022
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-007697 Issued in IL
Practice address
1504 Essington Rd Ste B
Joliet, IL 60435
Phone
(630) 967-2000
NPI assigned
Jan 6, 2006
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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 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

IdentifierTypeStateIssuer
BCBS OF ILOtherIL1619980

Other names 1

  • Carol A Baskovich Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccarli193911@dulyhealthandcare.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823001186 IL Practitioner - Physical Therapist in Private Practice 3870567191 Reassigns benefits to 2 organizations

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
Parkview Orthopaedic Group S CGroup PAC ID 9335134691, 31 clinicians

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

LicenseStateTypeSpecialty
070-007697ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Nov 24, 2022 Accepting new patients
Weil Foot and Ankle Institute LLC CurrentSince Nov 24, 2022 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

  • Direct secure messaging: carol.carli.p1@direct.parkviewortho.nextgenshare.com
  • Direct secure messaging: 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.

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

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.

Verify at the official NPI Registry.