Individual provider Active NPI

Ryan Lefever, MPT

  • Physical Therapist
  • Grayslake, IL
National Provider Identifier
1972644748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014338 Issued in IL
Practice address
1860 Belvidere Rd
Country Faire Plaza
Grayslake, IL 60030-2289
Phone
(847) 548-0360
Fax
(847) 548-0716
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 070014338 IL Primary

Addresses

Primary practice location

1860 Belvidere Rd
Country Faire Plaza
Grayslake, IL 60030-2289

Mailing address

1860 Belvidere Rd
Grayslake, IL 60030-2289

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000948 IL Practitioner - Physical Therapist in Private Practice 0446416002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Institute PCGroup PAC ID 3678982550, 8 clinicians

Practice addresses (Care Compare)

2500 W Bradley PL
Suite F
Chicago, IL 60618-4716
Phone (773) 799-2795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070014338ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Institute PC Physical Therapist CurrentSince Feb 26, 2021 Accepting new patients
The Fit Institute PastSince Feb 26, 2021 Accepting new patients

Locations

2500 W Bradley Pl
Ste F
Chicago, IL 60618
Phone (773) 799-2795

701 N Milwaukee Ave
Ste 246B
Vernon Hills, IL 60061
Phone (773) 796-3069

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972644748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 BELVIDERE RD",
            "address_2": "COUNTRY FAIRE PLAZA",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302289",
            "telephone_number": "847-548-0360",
            "fax_number": "847-548-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVER",
        "first_name": "RYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.