Individual provider Active NPI

Richard M Sebastian II, P.T.

  • Physical Therapist
  • Lincolnshire, IL
National Provider Identifier
1972785350
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.010937 Issued in IL
Practice address
900 Milwaukee Ave
Lincolnshire, IL 60069-3845
Phone
(847) 415-8800
NPI assigned
Nov 28, 2007
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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 070.010937 IL Primary

Addresses

Primary practice location

900 Milwaukee Ave
Lincolnshire, IL 60069-3845

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130123000262 IL Practitioner - Physical Therapist in Private Practice 2466605597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1122 Willow Rd
Suite a
Northbrook, IL 60062-6825
Phone (847) 504-4100

724 E Rollins Rd
Round Lake Beach, IL 60073-1340
Phone (847) 270-8028

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.010937ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Nov 5, 2015 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Crystal Lake Physical Therapy Inc Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Nov 5, 2015 Accepting new patients

Locations

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

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

735 McArdle Dr
Ste A
Crystal Lake, IL 60014
Phone (815) 477-2013

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

7055 Grand Ave
Ste 4C
Gurnee, IL 60031
Phone (224) 321-5596

573 W State Route 22
Lake Zurich, IL 60047
Phone (847) 796-3320

1612 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 281-0323

900 Milwaukee Ave
Lincolnshire, IL 60069
Phone (847) 415-8800

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

1 W Rand Rd
Ste A
Mount Prospect, IL 60056
Phone (847) 590-5241

1122 Willow Rd
Ste A
Northbrook, IL 60062
Phone (847) 504-4100

724 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 270-8028

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

114 Skokie Blvd
Wilmette, IL 60091
Phone (847) 512-5102

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

2701 Sheridan Rd
Zion, IL 60099
Phone (224) 304-5699

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1972785350",
    "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": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MILWAUKEE AVE",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693845",
            "telephone_number": "847-415-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_suffix": "II",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.010937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.