Colby Nollin
Individual provider Active NPI Physical Therapist · Third Lake, IL
NPI 1750799656 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1750799656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 34572 N US Highway 45
Third Lake, IL 60030-4037 - Phone
- (847) 548-3695
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Northwestern University Feinberg Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pelvic Therapy and Fitness LLC
Practice addresses (Care Compare)
2500 W Higgins Rd
Suite 1100
Hoffman Estates, IL 60169-2050
Phone (847) 989-1491
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141110000261 | IL | Practitioner - Physical Therapist in Private Practice | 6002038908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelvic Therapy and Fitness LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2500 W Higgins Rd
Ste 1100
Hoffman Estates, IL 60169
Phone (847) 855-8852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
34572 N US Highway 45
Third Lake, IL 60030-4037
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other practice location 1
1860 E Belvidere Rd
Grayslake, IL 60030-2289
Phone (847) 548-0360
Other names
- Colby Whittey
Other providers in Third Lake, IL
- Lake County Crisis Center for the Prevention and Treatment of Domestic
- Reinaldo Martinez
- Joshua Moore
- Nataliya Korniychuk DMD LTD
- Carola J Nesbitt
- Olga L Thurman DDS LTD
- Damian Paciorek
- Steve Paraskos
- Timothy Mark Robinson
- Olga L Thurman
All providers in Third Lake, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.