Active NPI
Heather Ann Levie, P.T.
- Pediatric Physical Therapist
- Oakbrook Terrace, IL
National Provider Identifier
1801933304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 070.011126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-011126 | IL | MD | Physical Therapist |
| 070.011126 | IL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Av360 LLC | Current | 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.
-
- Health Educator
- Algonquin, IL
- NPI 1013515501
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.