Active NPI
Betty Carreno, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1831251073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070010042
- Practice address
- 1505 W Devon
Chicago, IL 60660 - Phone
- (773) 316-5305
- Fax
- (773) 743-4881
- NPI assigned
- Dec 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070010042 | IL | Primary |
Addresses
Primary practice location
1505 W Devon
Chicago, IL 60660
Mailing address
6039 N Mozart
Chicago, IL 60659
Phone (773) 316-5305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300084121 | Other | IL | TAX ID |
| 1285635532 | Other | IL | ORGANIZATION NPI |
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
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4733 N Damen Ave
Chicago, IL 60625-1442
Phone (773) 316-5305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070010042 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Plus PC | Physical Therapist | Current | Accepting new patients |
| Americare Health & Rehab Centetr PC | Past | Accepting new patients | |
| Hispanic Regional Clinics SC | Past | Accepting new patients |
Locations
1505 W Devon Ave
Chicago, IL 60660
Phone (773) 316-5305
4733 N Damen Ave
Chicago, IL 60625
Phone (773) 871-2250
Organizations & group practices 3
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.
-
- Chiropractor
- Westchester, IL
- NPI 1720202112
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1184653040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1831251073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6039 N MOZART",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60659",
"telephone_number": "773-316-5305",
"fax_number": "773-743-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W DEVON",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60660",
"telephone_number": "773-316-5305",
"fax_number": "773-743-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRENO",
"first_name": "BETTY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070010042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "300084121",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION NPI",
"identifier": "1285635532",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 12, 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.