Individual provider Active NPI

Carl Burdinie, P.T.

  • Physical Therapist
  • Riverside, IL
National Provider Identifier
1841264579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
350 Lionel Rd
Riverside, IL 60546-2220
Phone
(708) 447-0205
Fax
(847) 781-0273
NPI assigned
Feb 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

350 Lionel Rd
Riverside, IL 60546-2220

Mailing address

350 Lionel Rd
Riverside, IL 60546-2220
Phone (708) 447-0205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000780 IL Practitioner - Physical Therapist in Private Practice 9638145147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

Practice addresses (Care Compare)

12600 Renaissance Cir
Homer Glen, IL 60491-5891
Phone (331) 757-1490

1700 Robin LN
Lisle, IL 60532-4155
Phone (630) 763-6230

2055 Clearwater Dr
Oak Brook, IL 60523-8831
Phone (630) 415-2900

3253 S Harlem Ave
Suite 3
Berwyn, IL 60402-2996
Phone (708) 788-3880

35 Shawmut Ave
La Grange, IL 60525-8648
Phone (708) 330-2340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070003802ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Feb 24, 2022 Accepting new patients
Alpha Rehab Center, SC Physical Therapist CurrentSince Feb 1, 2019 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 12, 2018 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 12, 2018 Accepting new patients
Medical Specialists LTD Past Accepting new patients
Chicago Institute of Neurosurgery & Neuroresearch Past Accepting new patients

Locations

3253 S Harlem Ave
Ste 3
Berwyn, IL 60402
Phone (708) 317-5553

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 413-5817

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841264579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LIONEL RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462220",
            "telephone_number": "708-447-0205",
            "fax_number": "847-781-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LIONEL RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462220",
            "telephone_number": "708-447-0205",
            "fax_number": "847-781-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDINIE",
        "first_name": "CARL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.