Individual provider Active NPI

Rachel Anne Nesburg, PT, DPT

  • Sports Physical Therapist
  • Chicago, IL
National Provider Identifier
1780428862
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
070.028317 Issued in IL
Practice address
2933 N Lincoln Ave
Chicago, IL 60657-9897
Phone
(847) 773-0298
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 070.028317 IL Primary

Addresses

Primary practice location

2933 N Lincoln Ave
Chicago, IL 60657-9897

Mailing address

6323 N Avondale Ave Ste B-243
Chicago, IL 60631-1962
Phone (231) 373-3966

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314003102 IL Practitioner - Physical Therapist in Private Practice 6800318254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028317ILMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pliyo Health Current Accepting new patients
Illinois Luna Care Physical Therapy LLC CurrentSince Mar 11, 2025 Accepting new patients
Adapt Physical Therapy and Sports Performance, PLLC CurrentSince Jan 19, 2026 Accepting new patients
Reinvent Health Inc Sports CurrentSince Dec 30, 2025 Accepting new patients

Locations

6323 N Avondale Ave
Ste B243
Chicago, IL 60631
Phone (847) 293-8171

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

Organizations & group practices 4

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1780428862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE B-243",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311962",
            "telephone_number": "231-373-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579897",
            "telephone_number": "847-773-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBURG",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070.028317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.