Individual provider Active NPI

Heather Ann Levie, P.T.

  • Pediatric Physical Therapist
  • Oakbrook Terrace, IL
National Provider Identifier
1801933304
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
070.011126 Issued in IL
Practice address
17W718 Butterfield Rd # 305
Oakbrook Terrace, IL 60181-4834
Phone
(630) 202-0405
Fax
(630) 620-9220
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 070.011126 IL Primary
Physical Therapist 225100000X 070-011126 IL

Addresses

Primary practice location

17W718 Butterfield Rd # 305
Oakbrook Terrace, IL 60181-4834

Mailing address

135 Oak Lawn CT Apt 103
Schaumburg, IL 60195-5125
Phone (630) 390-8643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819002734 IL Practitioner - Physical Therapist in Private Practice 7719486489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2140 Lake Cook Rd
Algonquin, IL 60102-5447

3250 Lacey Rd
Suite 160
Downers Grove, IL 60515-7901

37 Orrington CT
Schaumburg, IL 60173-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-011126ILMDPhysical Therapist
070.011126ILMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Av360 LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

2140 Lake Cook Rd
Algonquin, IL 60102
Phone (224) 249-1972

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1801933304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OAK LAWN CT APT 103",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601955125",
            "telephone_number": "630-390-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W718 BUTTERFIELD RD # 305",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814834",
            "telephone_number": "630-202-0405",
            "fax_number": "630-620-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIE",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070.011126",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-011126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.