Individual provider Active NPI

James Robert Zebold, PT, DPT

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1790352458
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070025951 Issued in IL
Practice address
111 N Larkin Ave Ste C
Joliet, IL 60435-7833
Phone
(779) 970-5100
Fax
(779) 221-8087
NPI assigned
Jun 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 070025951 IL Primary

Addresses

Primary practice location

111 N Larkin Ave Ste C
Joliet, IL 60435-7833

Mailing address

PO Box 416501
Boston, MA 02241-7594
Phone (914) 294-4050

Other practice location 1

6300 Kingery Hwy Ste 204
Willowbrook, IL 60527-2326
Phone (630) 891-3980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011000327 IL Practitioner - Physical Therapist in Private Practice 5395143044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 N Larkin Ave
Suite C
Joliet, IL 60435-7833
Phone (779) 970-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070025951ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Orthopedic Rehabilitation Institute,Inc Physical Therapist CurrentSince Jul 8, 2021 Accepting new patients
Achieve Orthopedic Sports Institute, LLC CurrentSince Jul 8, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jun 12, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jun 12, 2025 Accepting new patients

Locations

7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-1623

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

111 N Larkin Ave
Ste C
Joliet, IL 60435
Phone (779) 970-5100

9121 159th St
Orland Hills, IL 60487
Phone (630) 371-1623

760 Pasquinelli Dr
Ste 304
Westmont, IL 60559
Phone (630) 371-1623

6300 Kingery Hwy
Ste 204
Willowbrook, IL 60527
Phone (630) 891-3980

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1790352458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417594",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LARKIN AVE STE C",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604357833",
            "telephone_number": "779-970-5100",
            "fax_number": "779-221-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Kingery Hwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272326",
            "country_code": "US",
            "telephone_number": "630-891-3980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEBOLD",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070025951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.