Individual provider Active NPI

Nicole C Phillips, PT

  • Physical Therapist
  • Darien, IL
National Provider Identifier
1730314964
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07-0017097 Issued in IL
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

Updated by the provider on Mar 8, 2010

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 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

IdentifierTypeStateIssuer
P00790089OtherILMEDICARE RR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000837 IL Practitioner - Physical Therapist in Private Practice 3971640756 Reassigns benefits to 1 organization

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
Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

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 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07-0017097ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince May 14, 2009 Accepting new patients
Athletic and Therapeutic Institute of Naperville,LLC Physical Therapist CurrentSince May 14, 2009 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 PastSince Aug 28, 2007 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.

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.

Verify at the official NPI Registry.