CRYSTAL C SCHOLTEN DPT
NPI 1063903417
Physical Therapist in Fox Lake, IL
About Crystal C Scholten Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL C SCHOLTEN DPT (NPI 1063903417) is an individual physical therapist in Fox Lake, Illinois, licensed in Illinois (070023812) and active in the NPI registry since May 2018. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Crystal C Scholten Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Crystal Scholten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 1,298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOX LAKE, IL 60020
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Crystal Scholten's NPI number?
The NPI number for Crystal Scholten is 1063903417. It was assigned to this individual provider in the NPPES registry on May 22, 2018.
Where is Crystal Scholten located?
Crystal Scholten practices at 1294 S Route 12, Fox Lake, IL 60020. The listed phone number is (847) 973-9440.
What is Crystal Scholten's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Crystal Scholten enrolled in Medicare?
Yes. Crystal Scholten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Crystal Scholten's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Scholten reassigns Medicare benefits to Athletico Ltd (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Scholten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystal Scholten accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Crystal Scholten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Crystal Scholten was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Crystal C Scholten, DPT · NPI 1063903417
Physical Therapist provider in Fox Lake, Illinois. Individual provider, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1063903417 (Entity type: Individual)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 070023812 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1294 S ROUTE 12, Fox Lake, IL 60020
- **Phone:** (847) 973-9440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Athletico Ltd (NPI 1821085028, Oak Brook, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063903417) · Data from the CMS NPPES public registry.