Individual provider Active NPI

Brian T Koselke, DPT

  • Physical Therapist
  • Schaumburg, IL
National Provider Identifier
1750679890
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone
(847) 285-4200
NPI assigned
Jul 11, 2011
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 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

IdentifierTypeStateIssuer
P01019769OtherILMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000355 IL Practitioner - Physical Therapist in Private Practice 2163696253 Reassigns benefits to 1 organization

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
Elevate Physical Therapy IncGroup PAC ID 0840240768, 11 clinicians

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 100Reported as group
Quality
75.8
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy Inc. Physical Therapist CurrentSince Sep 1, 2023 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.

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.

Verify at the official NPI Registry.