Shelly Wilson, PT - Medicare Physical Therapist in Bolingbrook, IL

Shelly Wilson, PT is a medicare enrolled "Physical Therapist" provider in Bolingbrook, Illinois. Her current practice location is 790 Remington Blvd, Bolingbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 296-2222.

Shelly Wilson is licensed to practice in New Mexico (license number 3435) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275712812.

Contact Information

Shelly Wilson, PT
790 Remington Blvd,
Bolingbrook, IL 60440-4909
(630) 296-2222
(630) 759-9510

Map and Direction




Healthcare Provider's Profile

Full NameShelly Wilson
GenderFemale
SpecialityPhysical Therapist
Location790 Remington Blvd, Bolingbrook, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275712812
  • Provider Enumeration Date: 10/31/2007
  • Last Update Date: 01/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8022268523
  • Enrollment ID: I20121018000272

Medical Identifiers

Medical identifiers for Shelly Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275712812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 3435 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelly Wilson allows following entities to bill medicare on her behalf.
Provider NameActive Solutions Therapy Serv Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1720075880
PECOS PAC ID: 9638132830
Enrollment ID: O20041109000489

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelly Wilson, PT
790 Remington Blvd,
Bolingbrook, IL 60440-4909

Ph: (630) 296-2222
Shelly Wilson, PT
790 Remington Blvd,
Bolingbrook, IL 60440-4909

Ph: (630) 296-2222

Reviews and Comments


Physical Therapist in Bolingbrook, IL

Jennifer N Warning, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440
Phone: 630-378-9420    Fax: 630-378-9169
Samuel Almoguera Tambago Jr., DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2224 Misty Creek Trl, Bolingbrook, IL 60490
Phone: 714-417-6155    
Erika Lauren Elder,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 790 Remington Blvd, Bolingbrook, IL 60440
Phone: 630-296-2223    
Annie Malone, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440
Phone: 630-378-9420    
Douglas Bradley, PT, CSCS
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490
Phone: 630-771-0850    Fax: 630-771-0852
Kristin Marie Lally, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490
Phone: 630-771-0850    
Patricia Victoria D. Castro- Ladra, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 863 W Briarcliff Rd, Bolingbrook, IL 60440
Phone: 630-935-3920    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.