Individual provider Active NPI

Lori Clements, PT

  • Physical Therapist
  • Westmont, IL
National Provider Identifier
1790773364
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070009314 Issued in IL
Practice address
28 N Cass Ave
Westmont, IL 60559-1602
Phone
(630) 615-9170
Fax
(630) 493-0995
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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 070009314 IL Primary

Addresses

Primary practice location

28 N Cass Ave
Westmont, IL 60559-1602

Mailing address

28 N Cass Ave
Westmont, IL 60559-1602
Phone (630) 615-9170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000332 IL Practitioner - Physical Therapist in Private Practice 3678538402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution PTWL LLCGroup PAC ID 7719115617, 42 clinicians

Practice addresses (Care Compare)

845 N Michigan Ave
Suite 973W
Chicago, IL 60611-2218
Phone (312) 878-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution PTWL LLC Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients

Locations

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

205 N Wells St
Chicago, IL 60606
Phone (312) 957-8882

3418 S Halsted St
Chicago, IL 60608
Phone (773) 337-7627

3168 N Broadway St
Chicago, IL 60657
Phone (312) 586-7977

4851 N Milwaukee Ave
Chicago, IL 60630
Phone (773) 241-7350

720 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 730-8456

2200 Waukegan Rd
Glenview, IL 60025
Phone (312) 475-1893

28 N Cass Ave
Westmont, IL 60559
Phone (630) 435-1800

Organizations & group practices 1

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1790773364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591602",
            "telephone_number": "630-615-9170",
            "fax_number": "630-493-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591602",
            "telephone_number": "630-615-9170",
            "fax_number": "630-493-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.