Individual provider Active NPI

Kevin Moffatt, PT, DPT, OCS

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1891146973
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018571 Issued in IL
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

Updated by the provider on Jun 25, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20180306000665 IL Practitioner - Physical Therapist in Private Practice 9133480270 Reassigns benefits to 2 organizations

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
Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

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 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018571ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Nov 8, 2019 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Mar 19, 2018 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Mar 19, 2018 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Nov 8, 2019 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.

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.

Verify at the official NPI Registry.