Individual provider Active NPI

Destiny Katherine Ragan

  • Physical Therapist
  • Yorkville, IL
National Provider Identifier
1740885631
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1591 Sycamore Rd
Yorkville, IL 60560-1952
Phone
(630) 385-2151
Fax
(630) 708-9810
NPI assigned
Dec 1, 2020
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 Primary

Addresses

Primary practice location

1591 Sycamore Rd
Yorkville, IL 60560-1952

Mailing address

1591 Sycamore Rd
Yorkville, IL 60560-1952
Phone (630) 385-2151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215000793 IL Practitioner - Physical Therapist in Private Practice 3971915083 Reassigns benefits to 1 organization
Practice locations: Joliet, IL; Yorkville, IL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightmore Physical Therapy LTDGroup PAC ID 8224123807, 5 clinicians

Practice addresses (Care Compare)

23909 W Renwick Rd
Suite 101
Plainfield, IL 60544-2109
Phone (815) 436-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightmore Physical Therapy LTD Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients

Locations

10309 W Lincoln Hwy
Frankfort, IL 60423
Phone (309) 370-3751

1240 Essington Rd
Ste 100
Joliet, IL 60435
Phone (815) 744-7108

23909 W Renwick Rd
Ste 101
Plainfield, IL 60544
Phone (815) 436-6900

Organizations & group practices 1

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1740885631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601952",
            "telephone_number": "630-385-2151",
            "fax_number": "630-708-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 SYCAMORE RD",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601952",
            "telephone_number": "630-385-2151",
            "fax_number": "630-708-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "DESTINY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.