Individual provider Active NPI

Theresa Grant, DPT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1881242543
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020825 Issued in IL
Practice address
1240 Iroquois Ave Ste 400
Naperville, IL 60563-8540
Phone
(630) 369-1015
Fax
(630) 369-5015
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 070020825 IL Primary

Addresses

Primary practice location

1240 Iroquois Ave Ste 400
Naperville, IL 60563-8540

Mailing address

1240 Iroquois Ave
Ste 400
Naperville, IL 60563-8540
Phone (630) 946-7606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070020825ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Rehabilitation Group Inc Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

1240 Iroquois Ave
Ste 400
Naperville, IL 60563
Phone (630) 369-1015

1751 S Naperville Rd
Ste 107
Wheaton, IL 60189
Phone (630) 369-1015

Organizations & group practices 1

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1881242543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 IROQUOIS AVE",
            "address_2": "STE 400",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638540",
            "telephone_number": "630-946-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 IROQUOIS AVE STE 400",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638540",
            "telephone_number": "630-369-1015",
            "fax_number": "630-369-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "THERESA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.