Individual provider Active NPI

Deannine Weber Ronan, PT

  • Physical Therapist
  • Des Plaines, IL
National Provider Identifier
1962599407
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014037 Issued in IL
Practice address
1469 Ellinwood Ave
Des Plaines, IL 60016-4565
Phone
(847) 635-6896
Fax
(847) 635-6897
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 070014037 IL Primary

Addresses

Primary practice location

1469 Ellinwood Ave
Des Plaines, IL 60016-4565

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

1038 S Racine Ave
Unit 301
Chicago, IL 60607-4867
Phone (773) 294-1582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000331 IL Practitioner - Physical Therapist in Private Practice 4880696053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Hip Institute LLCGroup PAC ID 9335488063, 16 clinicians

Practice addresses (Care Compare)

999 E Touhy Ave
Suite 450
Des Plaines, IL 60018-2748
Phone (630) 920-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jul 3, 2023 Accepting new patients
American Hip Institute, LLC CurrentSince Jan 16, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jul 3, 2023 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Feb 18, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Feb 18, 2021 Accepting new patients
Achieve Orthopedic Rehabilitation Institute,Inc Physical Therapist PastSince Nov 26, 2002 Accepting new patients
South Suburban Open MRI of Orland, LLC Past Accepting new patients
Northside Physical Therapy Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5505 N Cumberland Ave
Ste 307
Chicago, IL 60656
Phone (908) 441-8887

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

1469 Ellinwood Ave
Des Plaines, IL 60016
Phone (847) 635-6896

999 E Touhy Ave
Ste 450
Des Plaines, IL 60018
Phone (630) 920-2323

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

712 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 550-4580

3021 Falling Waters Blvd
Ste C
Lindenhurst, IL 60046
Phone (847) 245-3670

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 8

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1962599407",
    "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",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 ELLINWOOD AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164565",
            "telephone_number": "847-635-6896",
            "fax_number": "847-635-6897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1038 S Racine Ave",
            "address_2": "Unit 301",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074867",
            "country_code": "US",
            "telephone_number": "773-294-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER RONAN",
        "first_name": "DEANNINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.