Individual provider Active NPI

Joseph Michael King, PT, ATC

  • Physical Therapist
  • North Aurora, IL
National Provider Identifier
1831285238
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.010267 Issued in IL
Practice address
35 S Randall Rd
North Aurora, IL 60542-1585
Phone
(630) 892-8003
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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 070.010267 IL Primary

Addresses

Primary practice location

35 S Randall Rd
North Aurora, IL 60542-1585

Mailing address

35 S Randall Rd
North Aurora, IL 60542-1585
Phone (630) 892-8003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000328 IL Practitioner - Physical Therapist in Private Practice 7618070517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Advantage, P.C.Group PAC ID 2264535160, 2 clinicians

Practice addresses (Care Compare)

35 S Randall Rd
North Aurora, IL 60542-1585
Phone (630) 892-8003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.010267ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Advantage, P.C. Physical Therapist CurrentSince Mar 15, 2007 Accepting new patients
Naperville Physical Therapy Center P C Physical Therapist Past Accepting new patients
Midwest Rehabilitation Group Inc Physical Therapist PastSince Jul 1, 2022 Accepting new patients

Locations

35 S Randall Rd
North Aurora, IL 60542
Phone (630) 892-8003

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1831285238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S RANDALL RD",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421585",
            "telephone_number": "630-892-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S RANDALL RD",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421585",
            "telephone_number": "630-892-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.010267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.