Individual provider Active NPI

Timothy Fedorski

  • Physical Therapist
  • Bloomingdale, IL
National Provider Identifier
1760437339
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070011136 Issued in IL
Practice address
303 E Army Trail Rd Ste 400
Bloomingdale, IL 60108-2172
Phone
(630) 582-1512
Fax
(630) 582-1514
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 070011136 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 400
Bloomingdale, IL 60108-2172

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other identifiers 1

IdentifierTypeStateIssuer
P000478856OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000163 IL Practitioner - Physical Therapist in Private Practice 4789696758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

50 W Schaumburg Rd
Schaumburg, IL 60194-3502
Phone (847) 490-7100

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070011136ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 6, 2017 Accepting new patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 14, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 6, 2017 Accepting new patients

Locations

303 E Army Trail Rd
Ste 400
Bloomingdale, IL 60108
Phone (630) 200-9648

303 E Army Trail Rd
Ste 209
Bloomingdale, IL 60108
Phone (630) 582-1512

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

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1031 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 895-1866

50 W Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 490-7100

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

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

Organizations & group practices 3

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1760437339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 400",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082172",
            "telephone_number": "630-582-1512",
            "fax_number": "630-582-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORSKI",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P000478856",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.