Individual provider Active NPI

Michael Witty, DPT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1801561477
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026054 Issued in IL
Practice address
1020 E Ogden Ave Ste 207
Naperville, IL 60563-8610
Phone
(331) 215-9820
Fax
(331) 215-9821
NPI assigned
Aug 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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 070.026054 IL Primary

Addresses

Primary practice location

1020 E Ogden Ave Ste 207
Naperville, IL 60563-8610

Mailing address

1501 Broadlawn Dr
Plainfield, IL 60586-5829
Phone (815) 557-9554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916001413 IL Practitioner - Physical Therapist in Private Practice 4981001021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

2 Danada SQ W
Wheaton, IL 60189-2000
Phone (630) 588-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.026054ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Rci (WRS), LLC CurrentSince Aug 11, 2021 Accepting new patients
Rci (WRS), LLC. CurrentSince Aug 11, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1020 E Ogden Ave
Ste 207
Naperville, IL 60563
Phone (331) 215-9820

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

2 Danada Sq W
Wheaton, IL 60189
Phone (630) 588-8840

Organizations & group practices 5

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": "1628985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1801561477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADLAWN DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865829",
            "telephone_number": "815-557-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 207",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638610",
            "telephone_number": "331-215-9820",
            "fax_number": "331-215-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-15",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026054",
            "primary": true
        }
    ],
    "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 Aug 15, 2021; 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.