Active NPI
Peter Oldenburg, MPT
- Physical Therapist
- Orland Park, IL
National Provider Identifier
1801930433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070010386
- Practice address
- 14700 S la Grange Rd
Unit a
Orland Park, IL 60462-3248 - Phone
- (708) 873-8822
- Fax
- (708) 873-8823
- NPI assigned
- Feb 16, 2007
- Last updated
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070010386 | IL | Primary |
Addresses
Primary practice location
14700 S la Grange Rd
Unit a
Orland Park, IL 60462-3248
Mailing address
14700 S la Grange Rd
Unit a
Orland Park, IL 60462-3248
Phone (708) 873-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 E 109TH Ave
Suite B
Crown Point, IN 46307-8693
Phone (219) 662-2400
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070010386 | IL | MD | Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1801930433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 S LA GRANGE RD",
"address_2": "UNIT A",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623248",
"telephone_number": "708-873-8822",
"fax_number": "708-873-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 S LA GRANGE RD",
"address_2": "UNIT A",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623248",
"telephone_number": "708-873-8822",
"fax_number": "708-873-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDENBURG",
"first_name": "PETER",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070010386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.