Individual provider Active NPI

Tosha Vyas

  • Physical Therapist
  • Libertyville, IL
National Provider Identifier
1841716669
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022283 Issued in IL
Practice address
1612 S Milwaukee Ave
Libertyville, IL 60048-3751
Phone
(847) 281-0323
Fax
(847) 984-0129
NPI assigned
Aug 15, 2017
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018148 MI
Physical Therapist 225100000X 070022283 IL Primary

Addresses

Primary practice location

1612 S Milwaukee Ave
Libertyville, IL 60048-3751

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

30250 John R Rd
Madison Heights, MI 48071-5205
Phone (586) 421-5174

Other practice location 2

30250 John R Rd
Madison Heights, MI 48071-5205
Phone (586) 421-5174

Other practice location 3

225 E Deerpath Ste 130
Lake Forest, IL 60045
Phone (847) 482-1433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190522001590 IL Practitioner - Physical Therapist in Private Practice 6709129364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Suburban Medical SCGroup PAC ID 5890754311, 3 clinicians

Practice addresses (Care Compare)

1612 S Milwaukee Ave
Libertyville, IL 60048-3751
Phone (847) 281-0323

1800 Nations Dr
Suite 101
Gurnee, IL 60031-9169
Phone (847) 263-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070022283ILMDPhysical Therapist
5501018148MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Mar 31, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 16, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 16, 2019 Accepting new patients
North Suburban Medical S.C. CurrentSince Nov 16, 2020 Accepting new patients
Lake Zurich Physical Medicine, SC PastSince Nov 16, 2020 Accepting new patients

Locations

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

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

1800 Nations Dr
Ste 101
Gurnee, IL 60031
Phone (847) 263-0480

233 Waukegan Rd
Lake Bluff, IL 60044
Phone (847) 482-9990

225 E Deerpath
Ste 130
Lake Forest, IL 60045
Phone (847) 482-1433

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1612 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 281-0323

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

1186 W Maple Ave
Mundelein, IL 60060
Phone (847) 970-7099

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

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

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

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

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

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1841716669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483751",
            "telephone_number": "847-281-0323",
            "fax_number": "847-984-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30250 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480715205",
            "country_code": "US",
            "telephone_number": "586-421-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30250 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480715205",
            "country_code": "US",
            "telephone_number": "586-421-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E Deerpath Ste 130",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "60045",
            "country_code": "US",
            "telephone_number": "847-482-1433",
            "fax_number": "847-482-1483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VYAS",
        "first_name": "TOSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018148",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.