Active NPI
Autumn Neuharth, PT
- Physical Therapist
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023613
- Practice address
- 1049 Lake St Ste 201
Oak Park, IL 60301 - Phone
- (877) 709-1090
- Fax
- (866) 221-3400
- NPI assigned
- Jan 25, 2017
- Last updated
- Jul 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 070023613 | IL | Primary |
Addresses
Primary practice location
1049 Lake St Ste 201
Oak Park, IL 60301
Mailing address
211 N Clinton St Ste 2N
Chicago, IL 60661-1283
Phone (877) 709-1090
Other practice location 1
505 62nd St
Apt 6D
Brooklyn, NY 11220-4639
Phone (718) 369-8000
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1640 W Roosevelt Rd
Mc727
Chicago, IL 60608-1316
Phone (312) 413-1871
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| University of Illinois Speech and Hearing | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
Organizations & group practices 4
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba Speech-Language Pathology Clinic
- Speech-Language Pathologist
- Champaign, IL
- NPI 1497923767
-
dba Medical Service Plan at Peoria
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532217600000",
"number": "1841737129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N CLINTON ST STE 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611283",
"telephone_number": "877-709-1090",
"fax_number": "866-221-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 LAKE ST STE 201",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60301",
"telephone_number": "877-709-1090",
"fax_number": "866-221-3400"
}
],
"practiceLocations": [
{
"address_1": "505 62nd St",
"address_2": "Apt 6D",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112204639",
"country_code": "US",
"telephone_number": "718-369-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUHARTH",
"first_name": "AUTUMN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2018-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; 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.