Active NPI
Adam George Pavlakis, DPT
- Physical Therapist
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17058-24
- Practice address
- 5024 Green Bay Rd
Kenosha, WI 53144-1702 - Phone
- (262) 925-5250
- NPI assigned
- Sep 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17058-24 | WI | Primary |
| Physical Therapist | 225100000X | 070.024562 | IL |
Addresses
Primary practice location
5024 Green Bay Rd
Kenosha, WI 53144-1702
Mailing address
2301 Lucien Way Ste 325
Maitland, FL 32751-7020
Phone (800) 774-7785
Other practice location 1
909 Davis St Ste 220
Evanston, IL 60201-3664
Phone (847) 733-7906
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
- Saint Louis University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
233 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone (847) 735-8104
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.024562 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
Locations
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
3233 W Addison St
Chicago, IL 60618
Phone (773) 478-0496
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
233 Waukegan Rd
Lake Bluff, IL 60044
Phone (847) 482-9990
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
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.
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1629397401
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784332800000",
"number": "1780233171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 LUCIEN WAY STE 325",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517020",
"telephone_number": "800-774-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5024 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441702",
"telephone_number": "262-925-5250"
}
],
"practiceLocations": [
{
"address_1": "909 Davis St Ste 220",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602013664",
"country_code": "US",
"telephone_number": "847-733-7906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAVLAKIS",
"first_name": "ADAM",
"middle_name": "GEORGE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-09",
"last_updated": "2026-07-18",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17058-24",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.024562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; 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.