PREMIER PHYSICAL THERAPY PC
NPI 1336127117
Physical Therapist in Evergreen Park, IL

Active since January 03, 2006
3900 W 95TH ST, EVERGREEN PARK, IL 60805(630) 920-4670(630) 920-4687 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, Jul 24, 2018 (2 updates tracked since 2018).

About Premier Physical Therapy Pc NPPES

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

PREMIER PHYSICAL THERAPY PC (NPI 1336127117) is a healthcare organization registered as a physical therapist in Evergreen Park, Illinois and active in the NPI registry since January 2006. The organization lists Krystal Nicole Vaughn, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1336127117
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePREMIER PHYSICAL THERAPY PC
Location Address3900 W 95TH STEvergreen Park, IL 60805
Mailing Address570 Village Center Dr Ste 205Burr Ridge, IL 60527-4526 · (630) 920-4670 · Fax (630) 920-4687
Fax(630) 920-4687
Organization SubpartNo
Authorized OfficialKrystal Nicole VaughnCredentialing Specialist · (630) 920-4670
Enumeration DateJanuary 3, 2006
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1336127117 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 · 070007675
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.
3900 W 95TH ST, Evergreen Park, IL 60805

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Premier Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (20)

Physical Therapist in Private Practice
NPI 1164410668
3900 W 95TH ST SUITE 1
Evergreen Park, IL 60805
(708) 423-7900
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1922528389
10384 S HARLEM AVE
Palos Hills, IL 60465
(708) 529-7109
✔ Accepts Medicare4.2 mi
Physical Therapist in Private Practice
NPI 1063164762
3905 S ARCHER AVE
Chicago, IL 60632
(630) 920-4670
✔ Accepts Medicare7.2 mi
Physical Therapist in Private Practice
NPI 1053256842
14474 S LA GRANGE RD
Orland Park, IL 60462
(630) 920-4670
9.5 mi
Physical Therapist in Private Practice
NPI 1366260119
14474 S LA GRANGE RD
Orland Park, IL 60462
(708) 460-8080
✔ Accepts Medicare9.6 mi
Physical Therapist in Private Practice
NPI 1487212536
14474 S LA GRANGE RD
Orland Park, IL 60462
(084) 608-0807
✔ Accepts Medicare9.6 mi
Physical Therapist in Private Practice
NPI 1285592089
1255 S STATE ST
Chicago, IL 60605
(312) 880-0808
11 mi
Physical Therapist in Private Practice
NPI 1609706134
1255 S STATE ST STE 6
Chicago, IL 60605
(312) 880-0808
11 mi
Physical Therapist in Private Practice
NPI 1760841803
1255 S STATE ST UNIT 6
Chicago, IL 60605
(312) 880-0808
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1770880197
534 CHESTNUT ST STE 140
Hinsdale, IL 60521
(630) 920-4670
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1073011862
4455 W GRAND AVE
Chicago, IL 60639
(630) 575-6250
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1780336552
8159 CALUMET AVE
Munster, IN 46321
(219) 836-2800
✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1134882376
2837 W IRVING PARK RD
Chicago, IL 60618
(773) 463-0249
✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1326129719
217 N BROAD ST
Griffith, IN 46319
(219) 924-1500
✔ Accepts Medicare20 mi
Physical Therapist in Private Practice
NPI 1609264993
2028 W OAKTON ST PARK RIDGE
Park Ridge, IL 60068
(847) 692-6964
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1225972813
1550 N ROUTE 59 STE 140
Naperville, IL 60563
(630) 393-9880
✔ Accepts Medicare26 mi
Physical Therapist in Private Practice
NPI 1619143575
3703 W LAKE AVE SUITE 200
Glenview, IL 60026
(847) 998-1188
26 mi
Physical Therapist in Private Practice
NPI 1871464404
1540 LAKE ST
Roselle, IL 60172
(630) 295-9900
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1073817722
305 W INDIAN TRL STE B
Aurora, IL 60506
(630) 820-4050
✔ Accepts Medicare31 mi
Physical Therapist in Private Practice
NPI 1841548716
3703 W LAKE AVE SUITE 200
Glenview, IL 60026
(847) 998-1188
✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Premier Physical Therapy PC's NPI number?

The NPI number for Premier Physical Therapy PC is 1336127117. It was assigned to this organization in the NPPES registry on January 3, 2006.

Where is Premier Physical Therapy PC located?

Premier Physical Therapy PC is located at 3900 W 95th St, Evergreen Park, IL 60805. The listed phone number is (630) 920-4670.

What is Premier Physical Therapy PC's specialty?

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

Is Premier Physical Therapy PC enrolled in Medicare?

Yes. Premier Physical Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Premier Physical Therapy PC. A 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 the clinician's services. Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Physical Therapy PC accept?

Health plans from Anthem Blue Cross and Blue Shield and Cigna Healthcare list Premier Physical Therapy PC 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 Premier Physical Therapy PC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.