Active NPI
William Santucci, PT
- Physical Therapist
- Ottawa, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070017401
- Practice address
- 1306 Gemini Cir
Suite 3
Ottawa, IL 61350-1694 - Phone
- (815) 431-9980
- NPI assigned
- Oct 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0501890A | IN | |
| Physical Therapist | 225100000X | 070017401 | IL | Primary |
Addresses
Primary practice location
1306 Gemini Cir
Suite 3
Ottawa, IL 61350-1694
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01062370 | Other | IL | MEDICARE RAILROAD |
| P01228239 | Other | IN | MEDICARE RAILROAD |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3296 Executive Dr
Suite 201
Joliet, IL 60431-8501
Phone (815) 207-4223
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070017401 | IL | MD | Physical Therapist |
| 0501890A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
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
5057 Paysphere Cir
Chicago, IL 60674
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
3296 Executive Dr
Unit 201
Joliet, IL 60431
Phone (815) 207-4223
3296 Executive Dr
Ste 201
Joliet, IL 60431
Phone (815) 207-4223
4555 Lincoln Hwy
Matteson, IL 60443
Phone (708) 283-0021
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
1051 W US Route 6
Ste 400
Morris, IL 60450
Phone (815) 942-8301
1306 Gemini Cir
Ste 3
Ottawa, IL 61350
Phone (815) 431-9980
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
dba ATI Physical Therapy
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
dba ATI Physical Therapy
- Physical Therapist
- Downers Grove, IL
- NPI 1023340155
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1881929362",
"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": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 GEMINI CIR",
"address_2": "SUITE 3",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501694",
"telephone_number": "815-431-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTUCCI",
"first_name": "WILLIAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-16",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "0501890A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070017401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01062370",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01228239",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.