Individual provider Active NPI

Peyton Heibel

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1801642616
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3008 S Halsted St Ste 116
Chicago, IL 60608-5805
Phone
(312) 842-1205
Fax
(312) 842-1356
NPI assigned
Apr 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 IL Primary

Addresses

Primary practice location

3008 S Halsted St Ste 116
Chicago, IL 60608-5805

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240508001350 IL Practitioner - Physical Therapist in Private Practice 3274974274 Reassigns benefits to 2 organizations
I20260624001491 IN Practitioner - Physical Therapist in Private Practice 3274974274 Reassigns benefits to 1 organization
I20260624001678 NE Practitioner - Physical Therapist in Private Practice 3274974274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, shared by 5 NPIs, 285 clinicians

Practice addresses (Care Compare)

11620 97TH LN NE
Kirkland, WA 98034-4269
Phone (425) 820-0869

3008 S Halsted St
Suite 116
Chicago, IL 60608-5805
Phone (312) 842-1205

3082 Caton Farm Rd
Joliet, IL 60435-1455
Phone (815) 577-9936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Apr 4, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Apr 4, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

3008 S Halsted St
Ste 116
Chicago, IL 60608
Phone (312) 842-1205

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

3082 Caton Farm Rd
Joliet, IL 60435
Phone (630) 783-2001

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1801642616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 S HALSTED ST STE 116",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085805",
            "telephone_number": "312-842-1205",
            "fax_number": "312-842-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIBEL",
        "first_name": "PEYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.