Unknown Individual – Physical Therapy Assistant, NPI 1497875934

Unknown Individual is a healthcare provider. based in Lockport, Illinois. specializing in Physical Therapy Assistant. The NPI Number for Unknown Individual is 1497875934

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497875934
Phone
(815) 744-6813
Address
21655 W DIVISION ST
Deactivation Date
7 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 21655 W DIVISION ST

    LOCKPORT, IL 604419519

    Phone: (815) 744-6813

    Fax: (815) 741-9577

    Type: Mailing

  • 26555 S JACOB DR

    CHANNAHON, IL 604105493

    Phone: (815) 483-8944

    Fax: (815) 521-2896

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60441)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1497875934 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Lockport, Illinois as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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