Individual provider Active NPI

Alexis Cheyenne Kessinger, DPT

  • Physical Therapist
  • Oak Park, IL
National Provider Identifier
1891570123
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070027754 Issued in IL
Practice address
610 S Maple Ave Ste 1400
Oak Park, IL 60304-1096
Phone
(877) 632-6637
Fax
(708) 409-5179
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 070027754 IL Primary

Addresses

Primary practice location

610 S Maple Ave Ste 1400
Oak Park, IL 60304-1096

Mailing address

610 S Maple Ave Ste 1400
Oak Park, IL 60304-1096
Phone (877) 632-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030001680 IL Practitioner - Physical Therapist in Private Practice 2769838671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

610 S Maple Ave
Suite 1400
Oak Park, IL 60304-1096
Phone (877) 632-6637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Orthomidwest, PLLC CurrentSince Sep 15, 2023 Accepting new patients
Orthomidwest, PLLC CurrentSince Sep 15, 2023 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

610 S Maple Ave
Ste 1550
Oak Park, IL 60304
Phone (708) 358-1612

610 S Maple Ave
Ste 1400
Oak Park, IL 60304
Phone (708) 383-0770

7222 W Cermak Rd
Ste 110
Riverside, IL 60546
Phone (312) 432-2826

Interoperability endpoints

  • Direct secure messaging: alexis.kessinger.1@12576.direct.athenahealth.com

Organizations & group practices 3

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1891570123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 1400",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041096",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 1400",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041096",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSINGER",
        "first_name": "ALEXIS",
        "middle_name": "CHEYENNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.