Individual provider Active NPI

Jillian B Walker, PT

  • Physical Therapist
  • New Lenox, IL
National Provider Identifier
1750754453
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020205 Issued in IL
Practice address
1938 E Lincoln Hwy
Suite 111
New Lenox, IL 60451-3810
Phone
(815) 485-2916
Fax
(815) 485-2918
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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 070020205 IL Primary

Addresses

Primary practice location

1938 E Lincoln Hwy
Suite 111
New Lenox, IL 60451-3810

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Other names 1

  • Jillian B Holton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151120002507 IL Practitioner - Physical Therapist in Private Practice 6608176706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

1611 W Harrison St
Suite 107
Chicago, IL 60612-4861
Phone (877) 632-6637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070020205ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopaedics at Rush LLC CurrentSince Apr 5, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 16, 2015 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Apr 5, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 16, 2015 Accepting new patients
Orthomidwest, PLLC Physical Therapist Current Accepting new patients
Orthomidwest, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Orthomidwest, PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1938 E Lincoln Hwy
Ste 111
New Lenox, IL 60451
Phone (815) 485-2916

2011 York Rd
Ste 1500
Oak Brook, IL 60523
Phone (708) 492-5630

2011 York Rd
Ste 3000
Oak Brook, IL 60523
Phone (414) 732-2577

2011 York Rd
Oak Brook, IL 60523
Phone (312) 942-6100

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: jillian.walker.1@12576.direct.athenahealth.com

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": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1750754453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY",
            "address_2": "SUITE 111",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513810",
            "telephone_number": "815-485-2916",
            "fax_number": "815-485-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JILLIAN",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "HOLTON",
            "middle_name": "B",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.