Cory D Hanley, PT
Individual provider Active NPI Physical Therapist · Casey, IL
NPI 1801089263 · NPPES record last updated Nov 30, 2016
Key facts
- NPI
- 1801089263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070015888 (IL)
- Practice address
- 1300 E US Highway 40
Casey, IL 62420 - Phone
- (217) 932-2100
- Fax
- (217) 932-2115
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletic and Therapeutic Institute of Bourbonnais, LLC
Practice addresses (Care Compare)
1300 E Route 40
Casey, IL 62420-3126
Phone (217) 932-2100
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.61 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 70.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071005000558 | IL | Practitioner - Physical Therapist in Private Practice | 6901991918 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015888 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
1300 E Route 40
Casey, IL 62420
Phone (217) 932-2100
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
607 W Jourdan St
Newton, IL 62448
Phone (618) 783-2908
5401 N Knoxville Ave
Ste 117
Peoria, IL 61614
Phone (309) 689-8888
924 W Custer Ave
Pontiac, IL 61764
Phone (815) 844-4690
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015888 | IL | Yes |
Addresses
Primary practice location
1300 E US Highway 40
Casey, IL 62420
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other providers in Casey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.