Athletico Physical Therapy - Medicare Primary Care in Oak Brook, IL

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Athletico Physical Therapy is a medicare enrolled primary clinic (Physical Therapist) in Oak Brook, Illinois. The current practice location for Athletico Physical Therapy is 2122 York Rd Ste 300, Oak Brook, Illinois. For appointments, you can reach them via phone at (630) 575-1980. The mailing address for Athletico Physical Therapy is 2122 York Rd Ste 300, Oak Brook, Illinois and phone number is (630) 575-1980.

Athletico Physical Therapy is licensed to practice in Illinois (license number ). The clinic also participates in the medicare program and its NPI number is 1821085028. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (630) 575-1980.

Contact Information

Athletico Physical Therapy
2122 York Rd Ste 300
Oak Brook
IL 60523-1925
(630) 575-1980
(630) 928-5080

Map and Direction


Primary Care Clinic Profile

Full NameAthletico Physical Therapy
SpecialityPhysical Therapist
Location2122 York Rd Ste 300, Oak Brook, Illinois
Authorized Official Name and PositionJuana L Granados (CREDENTIALING MANAGER)
Authorized Official Contact6305751980
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Athletico Physical Therapy
2122 York Rd Ste 300
Oak Brook
IL 60523-1925

Ph: (630) 575-1980		Athletico Physical Therapy
2122 York Rd Ste 300
Oak Brook
IL 60523-1925

Ph: (630) 575-1980

NPI Details:

NPI Number1821085028
Provider Enumeration Date10/03/2005
Last Update Date08/28/2026
Certification Date08/28/2026

Medicare PECOS Information:

Medicare PECOS PAC ID4789602681
Medicare Enrollment IDO20100913000433

Medical Identifiers

Medical identifiers for Athletico Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821085028NPI-NPPES
0001618843OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (NU)Secondary
261QR0400XClinic/center - Rehabilitation (Illinois)Secondary
225100000XPhysical Therapist (Illinois)Primary
225X00000XOccupational Therapist (NU)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Athletico Physical Therapy acts as a billing entity for following providers:
Provider NameGinesa S Schleuse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053344218
PECOS PAC ID: 9931182417
Enrollment ID: I20040608000495
Provider NameMarisa J Trottier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578506192
PECOS PAC ID: 4981634029
Enrollment ID: I20050817001038
Provider NameAmy E Renken
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336178029
PECOS PAC ID: 5799794707
Enrollment ID: I20060419000048
Provider NameMelissa D Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578565388
PECOS PAC ID: 1052317476
Enrollment ID: I20061009000020
Provider NameChristina Seefeldt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386858207
PECOS PAC ID: 8921106667
Enrollment ID: I20070605000047
Provider NameRyan J Bedingfield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871696013
PECOS PAC ID: 8729171582
Enrollment ID: I20071011000559
Provider NameLuisa D Montemurro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891959557
PECOS PAC ID: 4587738570
Enrollment ID: I20080808000772
Provider NameMatthew S Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538329115
PECOS PAC ID: 3072688183
Enrollment ID: I20080822000692
Provider NameChristine Buffone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578796595
PECOS PAC ID: 1557401544
Enrollment ID: I20091223000336
Provider NameWendy L Schmidt
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841460839
PECOS PAC ID: 8628263233
Enrollment ID: I20101109000816
Provider NamePaul Norman Schmidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710930961
PECOS PAC ID: 2567417728
Enrollment ID: I20110128000970
Provider NameLane T Laclair
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174576706
PECOS PAC ID: 8820030547
Enrollment ID: I20110208000912
Provider NameSusan E. Rowntree
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902151525
PECOS PAC ID: 5698923142
Enrollment ID: I20120907000426
Provider NameAshley D Fauth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164778718
PECOS PAC ID: 2466601851
Enrollment ID: I20120928000129
Provider NameSamantha a Sanfelippo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629402730
PECOS PAC ID: 4688808454
Enrollment ID: I20131010000004
Provider NameErika M Kurzac
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033544713
PECOS PAC ID: 2567697188
Enrollment ID: I20131106001109
Provider NameKatherine C Blaney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720217276
PECOS PAC ID: 4183763105
Enrollment ID: I20131213000407
Provider NameScott a Law
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447391305
PECOS PAC ID: 8325295306
Enrollment ID: I20140108001222
Provider NameCraig B Becknell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124316492
PECOS PAC ID: 6608032099
Enrollment ID: I20140807000712
Provider NameJenna L Prijatel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376946350
PECOS PAC ID: 5496070864
Enrollment ID: I20150205000896
Provider NameSamuel J Arnold
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144606021
PECOS PAC ID: 4486960242
Enrollment ID: I20150825004355
Provider NameAnthony R Matoska
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154797231
PECOS PAC ID: 8921314188
Enrollment ID: I20150902001395
Provider NameAndrew a Nicholas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780031609
PECOS PAC ID: 4789975202
Enrollment ID: I20160614000465
Provider NameLauren M Kayser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861849432
PECOS PAC ID: 8022309558
Enrollment ID: I20160614000545
Provider NameKatherine Helen Barnett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063860674
PECOS PAC ID: 2062707540
Enrollment ID: I20160823001392
Provider NameMatthew J Hoy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457775314
PECOS PAC ID: 3870712656
Enrollment ID: I20161003001634
Provider NameNikolai S Miskov
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063863264
PECOS PAC ID: 4789962580
Enrollment ID: I20161031000061
Provider NameGreg P Fernandez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215481148
PECOS PAC ID: 3678852142
Enrollment ID: I20161128001959
Provider NameAllison a Kosinski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467990937
PECOS PAC ID: 0547543894
Enrollment ID: I20170210000631
Provider NameRyan Mccann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730617879
PECOS PAC ID: 6103194295
Enrollment ID: I20170613002970
Provider NameGeoffrey W Klein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598786949
PECOS PAC ID: 4981705845
Enrollment ID: I20170614000196
Provider NameJordan Z Olp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194253120
PECOS PAC ID: 0042581043
Enrollment ID: I20170809003793
Provider NameArielle F Berman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629597505
PECOS PAC ID: 4789950767
Enrollment ID: I20171018002103
Provider NameJessica M Lois
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003329467
PECOS PAC ID: 4688931603
Enrollment ID: I20171129003366
Provider NameTyler J Raymaker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023521663
PECOS PAC ID: 0042579484
Enrollment ID: I20180110003395
Provider NameJacey J Mroczenski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073005153
PECOS PAC ID: 8921353921
Enrollment ID: I20180614002830
Provider NameBrittany R Bergman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548751662
PECOS PAC ID: 2961759196
Enrollment ID: I20180719001316
Provider NameAlexis Kleczka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306324843
PECOS PAC ID: 2860741014
Enrollment ID: I20180821001777
Provider NameKyle Sampson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518434125
PECOS PAC ID: 5597000935
Enrollment ID: I20181213000783
Provider NameAdam R Ketterhagen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114273372
PECOS PAC ID: 8426205196
Enrollment ID: I20190206000026
Provider NameNicole F Kovak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053978452
PECOS PAC ID: 7214264167
Enrollment ID: I20190815000084
Provider NameAlex J Schuler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730735374
PECOS PAC ID: 8921336561
Enrollment ID: I20190821001307
Provider NameAmy B O'brien
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891197430
PECOS PAC ID: 6901136654
Enrollment ID: I20190924001835
Provider NameJordan M Ruedt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508415944
PECOS PAC ID: 5890025159
Enrollment ID: I20190930001351
Provider NameAshley J Roberts
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1902449705
PECOS PAC ID: 5597197202
Enrollment ID: I20191119001409
Provider NameRebecca Lemke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528271335
PECOS PAC ID: 1557794757
Enrollment ID: I20191202001068
Provider NameClaire M Peterson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942843768
PECOS PAC ID: 7517391873
Enrollment ID: I20191220000012
Provider NameCody L Moldenhauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730559782
PECOS PAC ID: 6608166574
Enrollment ID: I20200116000222
Provider NameZachary Vandenberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578092276
PECOS PAC ID: 3072943471
Enrollment ID: I20200427002560
Provider NameLaura L Sickley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437763802
PECOS PAC ID: 7315365095
Enrollment ID: I20200911001649
Provider NameAmanda M Lopez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376910349
PECOS PAC ID: 6901112945
Enrollment ID: I20201125002136
Provider NameMegan E Ackerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245790104
PECOS PAC ID: 0345582110
Enrollment ID: I20210528000303
Provider NameSteven a Ditgen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467073569
PECOS PAC ID: 3678996170
Enrollment ID: I20210723002387
Provider NameJohn W Kruse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245805381
PECOS PAC ID: 2961804729
Enrollment ID: I20210727000790
Provider NameBrenna N Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033726245
PECOS PAC ID: 8527461474
Enrollment ID: I20210729001572
Provider NameStephanie a Bandura
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275103368
PECOS PAC ID: 6507260221
Enrollment ID: I20210803001755
Provider NameAshley C Frey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720755952
PECOS PAC ID: 7618375429
Enrollment ID: I20211008001486
Provider NameEric J Schmitz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477215770
PECOS PAC ID: 4880082684
Enrollment ID: I20211028000176
Provider NameJoseph C Ogden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023771219
PECOS PAC ID: 8729477815
Enrollment ID: I20211110003040
Provider NameTaylour R Schuler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023771656
PECOS PAC ID: 2466842984
Enrollment ID: I20211123003158
Provider NameMartha M Kiel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518533561
PECOS PAC ID: 2264824788
Enrollment ID: I20220113000763
Provider NameShamshir K Kang
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205595600
PECOS PAC ID: 4385036755
Enrollment ID: I20220114000805
Provider NameLindsey C Sowa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629215017
PECOS PAC ID: 3476708116
Enrollment ID: I20220209001383
Provider NameAshley Kristina Baugher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811662067
PECOS PAC ID: 6901299965
Enrollment ID: I20220215002261
Provider NameMadeline M Redohl
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497345854
PECOS PAC ID: 2163837741
Enrollment ID: I20220531002064
Provider NameMelissa Harris-petrick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578164869
PECOS PAC ID: 5092193169
Enrollment ID: I20220601001407
Provider NameCassidy C Mcfarlane
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952032096
PECOS PAC ID: 4082094388
Enrollment ID: I20220705000927
Provider NameJennifer Josephine Taliaferro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548804487
PECOS PAC ID: 3375977424
Enrollment ID: I20220727004088
Provider NameAndrew Rolland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437718897
PECOS PAC ID: 8921331307
Enrollment ID: I20221019000804
Provider NameJared Roznowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366180432
PECOS PAC ID: 9032588157
Enrollment ID: I20221213001126
Provider NamePatrick Sasser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396886164
PECOS PAC ID: 6901062579
Enrollment ID: I20230323001134
Provider NameLuke F Taccola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780256404
PECOS PAC ID: 1153726583
Enrollment ID: I20230518002114
Provider NameTheodore Azar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083303788
PECOS PAC ID: 3678930021
Enrollment ID: I20230531001100
Provider NameKevin M Huckstorf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396438404
PECOS PAC ID: 6305204926
Enrollment ID: I20230614000928
Provider NameScott D Brau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013691732
PECOS PAC ID: 2860852621
Enrollment ID: I20230712002828
Provider NameDaniel M Glampe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174205579
PECOS PAC ID: 5890159941
Enrollment ID: I20230908000525
Provider NameLauren Widlowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023893203
PECOS PAC ID: 5799139747
Enrollment ID: I20230926001352
Provider NameDavid Carrubba
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184400947
PECOS PAC ID: 6103270806
Enrollment ID: I20230929000070
Provider NameAlexander F Hart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396912226
PECOS PAC ID: 7810213618
Enrollment ID: I20231006001884
Provider NameLauren Margaret Schejbal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972382638
PECOS PAC ID: 1355786195
Enrollment ID: I20240301003398
Provider NameAnthony Urban
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639821754
PECOS PAC ID: 0143666768
Enrollment ID: I20240306000717
Provider NameLeah Lariviere
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578197828
PECOS PAC ID: 0840620159
Enrollment ID: I20240321003556
Provider NameColleen Aubrey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003655861
PECOS PAC ID: 6406398072
Enrollment ID: I20240611001869
Provider NameSophie Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902646656
PECOS PAC ID: 1951843531
Enrollment ID: I20240611001879
Provider NameHannah Alyssa Pharis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285473041
PECOS PAC ID: 6204379126
Enrollment ID: I20240620001836
Provider NameKaitlyn Karls
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528809167
PECOS PAC ID: 4284178625
Enrollment ID: I20240626004421
Provider NameCatherine Goodson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326889346
PECOS PAC ID: 3072057843
Enrollment ID: I20240703002462
Provider NameKyla Galles
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154464857
PECOS PAC ID: 6406012038
Enrollment ID: I20240807003820
Provider NameMitchell Weigel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356173918
PECOS PAC ID: 6204377146
Enrollment ID: I20240919001194
Provider NameKaren Milchuck
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710919469
PECOS PAC ID: 0941542229
Enrollment ID: I20241015001741
Provider NameEdan L Koopman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093943953
PECOS PAC ID: 9032244942
Enrollment ID: I20241024002868
Provider NameJoshua E Erdtmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629893847
PECOS PAC ID: 2062948862
Enrollment ID: I20241203003882
Provider NameHunter Goodwin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578387593
PECOS PAC ID: 9133655525
Enrollment ID: I20241209002931
Provider NameErika Eiesland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750038097
PECOS PAC ID: 8123401973
Enrollment ID: I20250204002399
Provider NameBalsam Itani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508633082
PECOS PAC ID: 9234677204
Enrollment ID: I20250210000051
Provider NameJordan Phillips
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437539046
PECOS PAC ID: 9638486467
Enrollment ID: I20250304001321
Provider NameHubert John Chua
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285825273
PECOS PAC ID: 3577922574
Enrollment ID: I20250418001608
Provider NameSydney Ann Lean
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700779634
PECOS PAC ID: 5193235216
Enrollment ID: I20250609001195
Provider NameDanielle Rae Malecha
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124912373
PECOS PAC ID: 3971014192
Enrollment ID: I20250616001484
Provider NameJanelle Anne Ritz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578135786
PECOS PAC ID: 9436661014
Enrollment ID: I20250620001972
Provider NameJolene Nieman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801184205
PECOS PAC ID: 7113196387
Enrollment ID: I20250620002452
Provider NameAnastasia S Demco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558234336
PECOS PAC ID: 2860989225
Enrollment ID: I20251017002332
Provider NameJoshua Douglas Gayle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881569309
PECOS PAC ID: 9638668205
Enrollment ID: I20251103001283
Provider NameScott Andrew Krueger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316735780
PECOS PAC ID: 8123505344
Enrollment ID: I20260120001255
Provider NameAlexander Lee Pope
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124702980
PECOS PAC ID: 8628540127
Enrollment ID: I20260616002315

Reviews and Comments

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Medicare: Not Enrolled in Medicare
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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.