Individual provider Active NPI

Sanjoy Roy, MPT

  • Physical Therapist
  • Wheaton, IL
National Provider Identifier
1972771244
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-014921 Issued in IL
Practice address
600 S County Farm Rd Ste 201
Wheaton, IL 60187-4575
Phone
(630) 446-5660
Fax
(630) 597-4850
NPI assigned
Feb 20, 2008
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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 070-014921 IL Primary

Addresses

Primary practice location

600 S County Farm Rd Ste 201
Wheaton, IL 60187-4575

Mailing address

600 S County Farm Rd Ste 201
Wheaton, IL 60187-4575
Phone (312) 523-8544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000232 IL Practitioner - Physical Therapist in Private Practice 9436297587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albatross, IncGroup PAC ID 0941553648, 2 clinicians

Practice addresses (Care Compare)

600 S County Farm Rd
Suite 201
Wheaton, IL 60187-4575
Phone (630) 446-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-014921ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Physical Therapy & Rehabilitation Center, Inc. Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients
Albatross TMS Inc. Current Accepting new patients
Albatross, Inc Physical Therapist CurrentSince Nov 6, 2014 Accepting new patients
Alpha Rehab Center, SC Physical Therapist PastSince Oct 1, 2013 Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients
Optumhealth Care Solutions Past Accepting new patients

Locations

30 S Michigan Ave
Ste 402
Chicago, IL 60603
Phone (312) 726-1353

600 S County Farm Rd
Ste 201
Wheaton, IL 60187
Phone (312) 523-8544

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1972771244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S COUNTY FARM RD STE 201",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874575",
            "telephone_number": "312-523-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COUNTY FARM RD STE 201",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874575",
            "telephone_number": "630-446-5660",
            "fax_number": "630-597-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "SANJOY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.