Jeremy S Adelman, DPT
Individual provider Active NPI Physical Therapist · Chicago, IL
NPI 1972039428 · NPPES record last updated Sep 21, 2017
Key facts
- NPI
- 1972039428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070023333 (IL)
- Practice address
- 1953 N Clybourn Ave
Suite D
Chicago, IL 60614-4945 - Phone
- (773) 871-3100
- Fax
- (773) 871-7388
- NPI assigned
- May 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Northwestern University Feinberg Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
1323 W Diversey Pkwy
Chicago, IL 60614-1207
Phone (773) 549-2520
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013001169 | IL | Practitioner - Physical Therapist in Private Practice | 3274808407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
Locations
1953 N Clybourn Ave
Ste D
Chicago, IL 60614
Phone (773) 871-3100
1323 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 549-2520
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070023333 | IL | Yes |
Addresses
Primary practice location
1953 N Clybourn Ave
Suite D
Chicago, IL 60614-4945
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250
Other providers in Chicago, IL
- Ibukunoluwa Oluwayemisi Adeleke
- Amanda Adeleye
- Arshya Adeli
- Alla Adelkhanova
- Caroline Bliss Adelman
- Bunmi Ehis Adelowo
- Jonathan Seth Adelstein
- Sarah Ashley Adelstein
- Muna Abdu Adem
- Adeshalewa Ademoyo-Opakunle
All providers in Chicago, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.