Active NPI
Kevin Moffatt, PT, DPT, OCS
- Physical Therapist
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018571
- Practice address
- 801 S Briggs St
2ND Floor
Joliet, IL 60433-9591 - Phone
- (815) 722-1757
- Fax
- (815) 722-1767
- NPI assigned
- Jun 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018571 | IL | Primary |
Addresses
Primary practice location
801 S Briggs St
2ND Floor
Joliet, IL 60433-9591
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4732 Dempster St
Skokie, IL 60076-2045
Phone (224) 534-2280
6560 W Fullerton Ave
Chicago, IL 60707-3439
Phone (773) 745-0338
7313 -7315 W Irving Park Rd
Chicago, IL 60634-3547
Phone (773) 786-2340
800 Des Plaines Ave
Forest Park, IL 60130-2927
Phone (708) 366-2442
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018571 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, 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 |
| Mett Therapy Services, Inc. | Physical Therapist | 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
3635 N Western Ave
Chicago, IL 60618
Phone (773) 661-0426
4049 W Diversey Ave
Chicago, IL 60639
Phone (773) 661-0696
6560 W Fullerton Ave
#Y2
Chicago, IL 60707
Phone (773) 745-0338
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
6105 N Lincoln Ave
Chicago, IL 60659
Phone (773) 279-0927
3233 W Addison St
Chicago, IL 60618
Phone (773) 478-0496
5226 N Northwest Hwy
Chicago, IL 60630
Phone (708) 669-2493
3852 N Cicero Ave
Chicago, IL 60641
Phone (773) 355-5407
4620 N Clark St
Chicago, IL 60640
Phone (773) 728-2690
6560 W Fullerton Ave
Chicago, IL 60707
Phone (773) 745-0338
925 Meacham Rd
Elk Grove Vlg, IL 60007
Phone (847) 923-6858
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
1002 Commons Dr
Geneva, IL 60134
Phone (630) 208-7831
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
4732 Dempster St
Skokie, IL 60076
Phone (224) 534-2280
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
Organizations & group practices 5
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.
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Physical Therapist
- Joliet, IL
- NPI 1891998548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1891146973",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S BRIGGS ST",
"address_2": "2ND FLOOR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604339591",
"telephone_number": "815-722-1757",
"fax_number": "815-722-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFATT",
"first_name": "KEVIN",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.