Individual provider Active NPI

Renee Faith Keefer, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1821372038
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018645 Issued in IL
Practice address
1347 W Belmont Ave
Chicago, IL 60657-3208
Phone
(773) 360-1740
Fax
(312) 380-0464
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 070018645 IL Primary

Addresses

Primary practice location

1347 W Belmont Ave
Chicago, IL 60657-3208

Mailing address

1347 W Belmont Ave
Chicago, IL 60657-3208
Phone (773) 360-1740

Other names 1

  • Renee F Reed Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221119000561 IL Practitioner - Physical Therapist in Private Practice 6305214537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy NW LLCGroup PAC ID 4183156821, 2 clinicians

Practice addresses (Care Compare)

147 N Northwest Hwy
Park Ridge, IL 60068-3341
Phone (847) 696-7465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy NW LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Elevate Physical Therapy Partners, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients

Locations

147 N Northwest Hwy
Park Ridge, IL 60068
Phone (773) 360-1740

Organizations & group practices 2

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1821372038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573208",
            "telephone_number": "773-360-1740",
            "fax_number": "312-380-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573208",
            "telephone_number": "773-360-1740",
            "fax_number": "312-380-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "RENEE",
        "middle_name": "FAITH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "REED",
            "middle_name": "F",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 12, 2022; 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.