Individual provider Active NPI

Christopher M Lask, PT

  • Physical Therapist
  • Homer Glen, IL
National Provider Identifier
1811098593
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013188 Issued in IL
Practice address
14035 S Bell Rd
Homer Glen, IL 60491-8463
Phone
(708) 645-0423
Fax
(708) 645-0428
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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 070013188 IL Primary

Addresses

Primary practice location

14035 S Bell Rd
Homer Glen, IL 60491-8463

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 1

IdentifierTypeStateIssuer
P00943111OtherILMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000498 IL Practitioner - Physical Therapist in Private Practice 1951294172 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Max Physical Therapy and PerformanceGroup PAC ID 2062816598, 3 clinicians

Practice addresses (Care Compare)

182 E Wend St
Lemont, IL 60439-2906
Phone (630) 257-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Max Physical Therapy and Performance Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Three Point Healthcare LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Hinsdale Orthopaedic Associates, SC CurrentSince Aug 1, 2019 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Hinsdale Orthopaedic Associates, S.C. CurrentSince Aug 1, 2019 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

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

705 W Plainfield Rd
Ste 1
Countryside, IL 60525
Phone (708) 352-1362

550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116

14035 S Bell Rd
Homer Glen, IL 60491
Phone (708) 645-0423

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

182 E Wend St
Lemont, IL 60439
Phone (630) 257-8282

19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378

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

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

1010 Executive Dr
Ste 250
Westmont, IL 60559
Phone (630) 655-8785

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

Organizations & group practices 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1811098593",
    "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",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14035 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918463",
            "telephone_number": "708-645-0423",
            "fax_number": "708-645-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASK",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00943111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.