AUSTIN VIDELKA
NPI 1437075355
Physical Therapist in Libertyville, IL

Active since June 25, 2026
716 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 990-5350 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Austin Videlka NPPES

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

AUSTIN VIDELKA (NPI 1437075355) is an individual physical therapist in Libertyville, Illinois, licensed in Illinois (070.040013) and active in the NPI registry since June 2026. He maintains 3 additional practice locations and is a graduate of Other (2026).

NPPES Registry Identity

NPI1437075355
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameAUSTIN VIDELKA
Location Address716 S MILWAUKEE AVELibertyville, IL 60048-3225
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 25, 2026
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1437075355 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 · 070.040013
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.
716 S MILWAUKEE AVE, Libertyville, IL 60048

Secondary Practice Locations 3

Location 1825 S Milwaukee AveLibertyville, IL 60048-3218 · Phone (847) 990-5350
Location 2695 Park AveLake Villa, IL 60046-6531 · Phone (847) 990-5350
Location 3650 W Lake Cook RdBuffalo Grove, IL 60089-2082 · Phone (847) 990-5350

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austin Videlka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678032331
PECOS Enrollment IDI20260824003929

Medicare Billing Reassignment

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

Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 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.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Physician Assistant (Medical)
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Neurological Surgery
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Physician Assistant
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Preventive Medicine (Occupational Medicine)
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Physician Assistant
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Neurological Surgery
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Neurological Surgery
716 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

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 Austin Videlka's NPI number?

The NPI number for Austin Videlka is 1437075355. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Austin Videlka located?

Austin Videlka practices at 716 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 990-5350.

What is Austin Videlka's specialty?

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

Is Austin Videlka enrolled in Medicare?

Yes. Austin Videlka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Austin Videlka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Videlka reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, 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 Austin Videlka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Austin Videlka was last updated on July 9, 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.