Active NPI
Divya Agrawal
- Physical Therapist
- Chipley, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070024389
- Practice address
- 1695 Main St
Chipley, FL 32428-5992 - Phone
- (850) 638-3387
- NPI assigned
- Jul 9, 2017
- Last updated
- Jan 15, 2025
- Sex
- Female
- 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 | PT32377 | FL | |
| Physical Therapist | 225100000X | 070024389 | IL | Primary |
Addresses
Primary practice location
1695 Main St
Chipley, FL 32428-5992
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 W Geneva Rd
Wheaton, IL 60187-9141
Phone (630) 784-3251
1296 W Boughton Rd
Bolingbrook, IL 60490-1554
Phone (630) 771-0850
2940 Rollingridge Rd
Suite 100
Naperville, IL 60564-4233
Phone (630) 369-4771
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.61 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 70.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | 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 Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
Locations
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
1296 W Boughton Rd
Bolingbrook, IL 60490
Phone (630) 771-0850
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
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- NPI 1861503542
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Physical Therapist
- Bourbonnais, IL
- NPI 1629397401
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1952823247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 MAIN ST",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324285992",
"telephone_number": "850-638-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "DIVYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-09",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32377",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.