Individual provider Active NPI

Jaime Vander Zanden, DPT

  • Physical Therapist
  • Monee, IL
National Provider Identifier
1982663373
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-017591 Issued in IL
Practice address
5601 W Monee Manhattan Rd Ste 115
Monee, IL 60449-8866
Phone
(708) 314-7761
Fax
(708) 314-7762
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05010208A IN
Physical Therapist 225100000X 070-017591 IL Primary

Addresses

Primary practice location

5601 W Monee Manhattan Rd Ste 115
Monee, IL 60449-8866

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other identifiers 1

IdentifierTypeStateIssuer
P01011167OtherINMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100428000937 IN Practitioner - Physical Therapist in Private Practice 7214096197 Reassigns benefits to 5 organizations
I20210917001670 IL Practitioner - Physical Therapist in Private Practice 7214096197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

12788 Adams Rd
Granger, IN 46530-7893
Phone (574) 271-1434

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-017591ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Il LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Orthopedic Therapy Specialists, PC CurrentSince Dec 11, 2023 Accepting new patients
Rci (WRS), LLC CurrentSince Apr 1, 2024 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Fox Rehab Indiana LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Rci (WRS), LLC. CurrentSince Apr 1, 2024 Accepting new patients
Munster Radiology Group PC Past Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

5601 W Monee Manhattan Rd
Ste 115
Monee, IL 60449
Phone (708) 314-7761

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

14901 Carey Rd
Carmel, IN 46033

860 Stillwater Pkwy
Crown Point, IN 46307
Phone (219) 662-8929

11055 Broadway
Ste E
Crown Point, IN 46307
Phone (219) 306-4050

12788 State Road 23
Granger, IN 46530
Phone (574) 271-1434

1405 E Lincolnway
Ste B
La Porte, IN 46350
Phone (219) 380-0809

9615 Keilman St
Saint John, IN 46373
Phone (219) 365-0220

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

411 E Ireland Rd
Ste 400
South Bend, IN 46614
Phone (574) 231-8950

3125 Calumet Ave
Ste 8
Valparaiso, IN 46383
Phone (219) 464-9800

Organizations & group practices 10

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1982663373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W MONEE MANHATTAN RD STE 115",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498866",
            "telephone_number": "708-314-7761",
            "fax_number": "708-314-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER ZANDEN",
        "first_name": "JAIME",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010208A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-017591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01011167",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monee, IL

Sources for this page

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