Active NPI
Nicole C Phillips, PT
- Physical Therapist
- Darien, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07-0017097
- Practice address
- 7511 Lemont Rd
Suite 204
Darien, IL 60561-4394 - Phone
- (630) 985-4010
- NPI assigned
- May 18, 2009
- 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 | 07-0017097 | IL | Primary |
Addresses
Primary practice location
7511 Lemont Rd
Suite 204
Darien, IL 60561-4394
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00790089 | Other | IL | MEDICARE RR |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7511 Lemont Rd
Darien, IL 60561-4394
Phone (630) 985-4010
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07-0017097 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville,LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
Locations
218 N Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 972-1541
790 Remington Blvd
Bolingbrook, IL 60440
1300 N Ashland Ave
Ste G
Chicago, IL 60622
Phone (773) 252-6227
6560 W Fullerton Ave
#Y2
Chicago, IL 60707
Phone (773) 745-0338
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
3008 S Halsted St
Ste 116
Chicago, IL 60608
Phone (312) 842-1205
326 N Michigan Ave
Ste 324
Chicago, IL 60601
Phone (312) 229-5271
1340 E 47th St
Chicago, IL 60653
Phone (773) 496-5147
812 W North Ave
Chicago, IL 60642
Phone (312) 951-1952
4620 N Clark St
Chicago, IL 60640
Phone (773) 728-2690
4307 S Pulaski Rd
Chicago, IL 60632
Phone (773) 916-4673
1226 S Canal St
Chicago, IL 60607
Phone (312) 733-8958
6560 W Fullerton Ave
Chicago, IL 60707
Phone (773) 745-0338
3011 N Clark St
Chicago, IL 60657
Phone (773) 661-0240
7511 Lemont Rd
Ste 204
Darien, IL 60561
Phone (630) 985-4010
7511 Lemont Rd
Darien, IL 60561
Phone (630) 985-4010
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
2940 Rollingridge Rd
Ste 100
Naperville, IL 60564
Phone (630) 369-4771
4732 Dempster St
Skokie, IL 60076
Phone (224) 534-2280
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
Organizations & group practices 7
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.
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- NPI 1043952641
-
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- NPI 1205924354
-
- Physical Therapist
- Willowbrook, IL
- NPI 1144331794
-
- Physical Therapist
- Oswego, IL
- NPI 1457462053
-
- Physical Therapist
- Naperville, IL
- NPI 1902917578
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1730314964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7511 LEMONT RD",
"address_2": "SUITE 204",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614394",
"telephone_number": "630-985-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "NICOLE",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "07-0017097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00790089",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.