Individual provider Active NPI

Mansi Shashikant Mohite, DPT

  • Physical Therapist
  • Lockport, IL
National Provider Identifier
1881398626
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070027303 Issued in IL
Practice address
1065 E 9TH St
Lockport, IL 60441-3567
Phone
(815) 588-1366
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 070027303 IL Primary

Addresses

Primary practice location

1065 E 9TH St
Lockport, IL 60441-3567

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other identifiers 1

IdentifierTypeStateIssuer
300121367MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230421001522 IL Practitioner - Physical Therapist in Private Practice 4385009570 Reassigns benefits to 1 organization
I20251013003740 IN Practitioner - Physical Therapist in Private Practice 4385009570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Health LLCGroup PAC ID 1254690530, 32 clinicians

Practice addresses (Care Compare)

1065 E 9TH St
Lockport, IL 60441-3567
Phone (815) 588-1366

3221 Beacon Pkwy
Suite 100
Granger, IN 46530-7196
Phone (574) 647-2930

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Beacon Health, LLC Physical Therapist CurrentSince Nov 24, 2025 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients
Beacon Health, LLC Past Accepting new patients

Locations

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

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

1065 E 9th St
Lockport, IL 60441
Phone (815) 588-1366

200 E Jackson Blvd
Ste 150
Elkhart, IN 46516
Phone (574) 389-5558

2222 Rieth Blvd
Ste 103
Goshen, IN 46526
Phone (574) 875-9616

3221 Beacon Pkwy
Ste 100
Granger, IN 46530
Phone (574) 647-2930

1815 E Ireland Rd
#100
South Bend, IN 46614
Phone (574) 647-5790

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1881398626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E 9TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413567",
            "telephone_number": "815-588-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHITE",
        "first_name": "MANSI",
        "middle_name": "SHASHIKANT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300121367",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

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