Individual provider Active NPI

Yehia Ayesh Ayesh

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1790528883
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070028725 Issued in IL
Practice address
1624 S Route 59
Naperville, IL 60564-5966
Phone
(331) 249-4088
NPI assigned
Jun 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070028725 IL Primary
Physical Therapist 225100000X 05015837A IN

Addresses

Primary practice location

1624 S Route 59
Naperville, IL 60564-5966

Mailing address

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

Other practice location 1

10787 Randolph St Ste 220
Winfield, IN 46307-7615
Phone (219) 333-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241022002121 IL Practitioner - Physical Therapist in Private Practice 1456883990 Reassigns benefits to 1 organization
I20241231000144 IN Practitioner - Physical Therapist in Private Practice 1456883990 Reassigns benefits to 1 organization

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
Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, shared by 6 NPIs, 385 clinicians

Practice addresses (Care Compare)

10787 Randolph St
Suite 220
Winfield, IN 46307-7615
Phone (219) 333-5900

2777 Maple Ave
Lisle, IL 60532-3280
Phone (630) 326-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070028725ILMDPhysical Therapist
05015837AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Oct 9, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Oct 9, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Dec 15, 2024 Accepting new patients

Locations

1818 N Wells St
Chicago, IL 60614
Phone (773) 782-2781

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

2777 Maple Ave
Lisle, IL 60532
Phone (630) 326-8810

1624 S Route 59
Ste 100
Naperville, IL 60564
Phone (331) 249-4088

16108 S Route 59
Ste 132
Plainfield, IL 60586
Phone (331) 299-5422

5 Broadway Plz
Peru, IN 46970
Phone (765) 327-2111

3319 Willowcreek Rd
Portage, IN 46368
Phone (574) 544-5434

10787 Randolph St
Ste 220
Winfield, IN 46307
Phone (219) 333-5900

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1790528883",
    "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": "1624 S ROUTE 59",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645966",
            "telephone_number": "331-249-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10787 Randolph St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IN",
            "postal_code": "463077615",
            "country_code": "US",
            "telephone_number": "219-333-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYESH",
        "first_name": "YEHIA",
        "middle_name": "AYESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028725",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015837A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.