SEAN TORIYAMA
NPI 1093634982
Physical Therapist in Elmhurst, IL

Active since July 14, 2026Accepts Medicare Assignment
111 W 3RD ST, ELMHURST, IL 60126(630) 415-3040 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean Toriyama NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN TORIYAMA (NPI 1093634982) is an individual physical therapist in Elmhurst, Illinois, licensed in Illinois (070039817) and active in the NPI registry since July 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1093634982
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSEAN TORIYAMA
Location Address111 W 3RD STElmhurst, IL 60126-2798
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1093634982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in IL · 070039817
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
111 W 3RD ST, Elmhurst, IL 60126

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

Sean Toriyama 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.

PECOS PAC ID6406313030
PECOS Enrollment IDI20260804002621

Medicare Billing Reassignment

Medicare enrollment records show Sean Toriyama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2122 YORK RD STE 300
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126
Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126
Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126
Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126
Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126
Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126
Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126
Physical Therapist
111 W 3RD ST
ELMHURST, IL 60126

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 Sean Toriyama's NPI number?

The NPI number for Sean Toriyama is 1093634982. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Where is Sean Toriyama located?

Sean Toriyama practices at 111 W 3rd St, Elmhurst, IL 60126. The listed phone number is (630) 415-3040.

What is Sean Toriyama's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sean Toriyama enrolled in Medicare?

Yes. Sean Toriyama 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 Sean Toriyama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Toriyama 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 Sean Toriyama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Toriyama accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Sean Toriyama 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 Sean Toriyama was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.