Active NPI
Brian T Koselke, DPT
- Physical Therapist
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 929 W Higgins Rd
Schaumburg, IL 60195-3203 - Phone
- (847) 285-4200
- NPI assigned
- Jul 11, 2011
- Last updated
- Jul 6, 2020
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
929 W Higgins Rd
Schaumburg, IL 60195-3203
Mailing address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01019769 | Other | IL | MEDICARE RAILROAD |
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 W Rand Rd
Arlington Heights, IL 60004-3142
Phone (847) 749-4509
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.69 of 100
- Quality
- 75.8
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1628 W Central Rd
Ste 2
Arlington Heights, IL 60005
Phone (847) 253-2944
147 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 323-1156
1628 W Central Rd
Arlington Hts, IL 60005
Phone (847) 253-2944
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.
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1477752301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1750679890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203",
"telephone_number": "847-285-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSELKE",
"first_name": "BRIAN",
"middle_name": "T",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01019769",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.