Active NPI
Shaheen L Behrouz, DPT
- Physical Therapist
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-025214
- Practice address
- 24402 W Lockport St Ste 100
Plainfield, IL 60544-4276 - Phone
- (815) 609-7000
- Fax
- (815) 609-7002
- NPI assigned
- Nov 30, 2018
- 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 | 6594 | MS | |
| Physical Therapist | 225100000X | 070-025214 | IL | Primary |
Addresses
Primary practice location
24402 W Lockport St Ste 100
Plainfield, IL 60544-4276
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200
Other practice location 1
7065 Airways Blvd Ste 110
Southaven, MS 38671-5874
Phone (662) 349-8997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6594 | Other | MS | PT LICENSE |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24402 W Lockport St
Plainfield, IL 60544-4206
Phone (815) 609-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-025214 | IL | MD | Physical Therapist |
| 6594 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Advanced Physicians, S.C. | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100
14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
24402 W Lockport St
Ste 100
Plainfield, IL 60544
Phone (815) 609-7000
24402 W Lockport St
Plainfield, IL 60544
Phone (815) 239-0395
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Interoperability endpoints
- shaheen.behrouz.p9@direct.athleticoltd.nextgenshare.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.
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Crest Hill, IL
- NPI 1124075288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1902376155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24402 W LOCKPORT ST STE 100",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605444276",
"telephone_number": "815-609-7000",
"fax_number": "815-609-7002"
}
],
"practiceLocations": [
{
"address_1": "7065 Airways Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386715874",
"country_code": "US",
"telephone_number": "662-349-8997",
"fax_number": "662-349-8987",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHROUZ",
"first_name": "SHAHEEN",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-30",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "6594",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-025214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "6594",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.