Revolution Physical Therapy Weight Loss - Medicare Mental Health Clinic in Chicago, IL

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Revolution Physical Therapy Weight Loss is a medicare enrolled mental health clinic (Physical Therapist) in Chicago, Illinois. The current practice location for Revolution Physical Therapy Weight Loss is 845 N Michigan Ave, Suite 973w, Chicago, Illinois. For appointments, you can reach them via phone at (312) 878-8800. The mailing address for Revolution Physical Therapy Weight Loss is 845 N Michigan Ave, Suite 973w, Chicago, Illinois and phone number is (312) 878-8800.

Revolution Physical Therapy Weight Loss is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164766606. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (312) 878-8800.

Contact Information

Revolution Physical Therapy Weight Loss
845 N Michigan Ave
Suite 973w
Chicago
IL 60611
(312) 878-8800
(312) 448-9978

Map and Direction


Mental Health Clinic Profile

Full NameRevolution Physical Therapy Weight Loss
SpecialityPhysical Therapist
Location845 N Michigan Ave, Chicago, Illinois
Authorized Official Name and PositionRandolph Frieser (PRESIDENT)
Authorized Official Contact3128788800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revolution Physical Therapy Weight Loss
845 N Michigan Ave
Suite 973w
Chicago
IL 60611-2252

Ph: (312) 878-8800		Revolution Physical Therapy Weight Loss
845 N Michigan Ave
Suite 973w
Chicago
IL 60611

Ph: (312) 878-8800

NPI Details:

NPI Number1164766606
Provider Enumeration Date11/21/2012
Last Update Date06/06/2018

Medicare PECOS Information:

Medicare PECOS PAC ID7719115617
Medicare Enrollment IDO20140123001222

Medical Identifiers

Medical identifiers for Revolution Physical Therapy Weight Loss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164766606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
133V00000XDietitian, Registered (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revolution Physical Therapy Weight Loss acts as a billing entity for following providers:
Provider NameMarija Plavsic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518181726
PECOS PAC ID: 7315932142
Enrollment ID: I20040420000078
Provider NameJos G Dorrestein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215105846
PECOS PAC ID: 9032181524
Enrollment ID: I20040806000033
Provider NameKristin A Leicht
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1992897607
PECOS PAC ID: 4789651332
Enrollment ID: I20040913001238
Provider NameLori L Clements
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790773364
PECOS PAC ID: 3678538402
Enrollment ID: I20041122000332
Provider NameKatherine S Wax
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710077557
PECOS PAC ID: 8628008000
Enrollment ID: I20050816000339
Provider NameWesley J Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235260811
PECOS PAC ID: 2264447028
Enrollment ID: I20060215000328
Provider NameJoel A Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457443152
PECOS PAC ID: 5496765570
Enrollment ID: I20060503000776
Provider NameCurtis Kaun
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457542136
PECOS PAC ID: 7012001530
Enrollment ID: I20070914000250
Provider NameGeraldine A Cahill-mohen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053411926
PECOS PAC ID: 1850382524
Enrollment ID: I20070925000319
Provider NameBenjamin J Wax
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104094010
PECOS PAC ID: 7214012277
Enrollment ID: I20080314000336
Provider NameKatherine C Hopkins
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235365099
PECOS PAC ID: 3274689104
Enrollment ID: I20090918000092
Provider NameDebra A Chandler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851669097
PECOS PAC ID: 4688835671
Enrollment ID: I20120418000802
Provider NameMargaret B Roth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225384902
PECOS PAC ID: 3870740764
Enrollment ID: I20120828000884
Provider NameDanny Schroeder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518217470
PECOS PAC ID: 1850541475
Enrollment ID: I20121017000248
Provider NamePayal Sud
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851681944
PECOS PAC ID: 3870746274
Enrollment ID: I20130115000425
Provider NameLaura Y Joya
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376977595
PECOS PAC ID: 8729213251
Enrollment ID: I20131108000624
Provider NameRandi Nell N Sax
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215330154
PECOS PAC ID: 9739301458
Enrollment ID: I20141113001656
Provider NameThomas E Martin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487766762
PECOS PAC ID: 3779806302
Enrollment ID: I20150106001347
Provider NameLauren E Schnidman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710372354
PECOS PAC ID: 3476873597
Enrollment ID: I20150513000872
Provider NameLaura J Goossens
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467833814
PECOS PAC ID: 4981919248
Enrollment ID: I20150814013742
Provider NameCharlene J Giraldo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093062721
PECOS PAC ID: 7517273006
Enrollment ID: I20150828001043
Provider NameStephen A Crean
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447621842
PECOS PAC ID: 2567763840
Enrollment ID: I20151209003093
Provider NameSamantha Dillon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508234576
PECOS PAC ID: 9638472814
Enrollment ID: I20160121001495
Provider NameMatthew R Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952757882
PECOS PAC ID: 7719276385
Enrollment ID: I20160520001314
Provider NameNausheen Haroon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073859658
PECOS PAC ID: 1759509078
Enrollment ID: I20160728002110
Provider NameJoseph M Klis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700236254
PECOS PAC ID: 1850686320
Enrollment ID: I20160823001105
Provider NameElusegun Olopo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518412741
PECOS PAC ID: 9133415193
Enrollment ID: I20160831001378
Provider NamePiotr Solowiej
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104279918
PECOS PAC ID: 0941596316
Enrollment ID: I20160912000510
Provider NameKevin Mcguyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659828630
PECOS PAC ID: 6406134642
Enrollment ID: I20161024000651
Provider NameMegan M Bradberry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013393024
PECOS PAC ID: 4082920020
Enrollment ID: I20161129001092
Provider NameSarah Green
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962953901
PECOS PAC ID: 2860775343
Enrollment ID: I20170207001818
Provider NameSteven Richard Ziganto
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1679025712
PECOS PAC ID: 8527341049
Enrollment ID: I20170208000409
Provider NameSabrina Albert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588195903
PECOS PAC ID: 8325315211
Enrollment ID: I20170524002542
Provider NameKathleen J Warner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285169615
PECOS PAC ID: 1850665811
Enrollment ID: I20170914003337
Provider NameLauren M Hooks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245759265
PECOS PAC ID: 8325306467
Enrollment ID: I20171220000008
Provider NameJennifer J Sherman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1306365937
PECOS PAC ID: 8224382239
Enrollment ID: I20181109002340
Provider NameNicole F Wodka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649749664
PECOS PAC ID: 7618212226
Enrollment ID: I20181228001424
Provider NameLinda Carlson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609348812
PECOS PAC ID: 5294073599
Enrollment ID: I20190212001795
Provider NameJoseph R Janasek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619423795
PECOS PAC ID: 1355639535
Enrollment ID: I20190606000580
Provider NameMichael K Glynn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629633680
PECOS PAC ID: 6901130251
Enrollment ID: I20190620002270
Provider NameJessica M Gonzalez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427619063
PECOS PAC ID: 8325377294
Enrollment ID: I20190903001801
Provider NameRoss G Copeland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689226367
PECOS PAC ID: 0143551739
Enrollment ID: I20191014000148
Provider NameDavid Michael Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891331625
PECOS PAC ID: 0840623609
Enrollment ID: I20191209002029
Provider NameDavis Hallberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568079861
PECOS PAC ID: 9830509066
Enrollment ID: I20201029001121
Provider NameKathryn S Barousse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740894633
PECOS PAC ID: 6103244660
Enrollment ID: I20210122001768
Provider NameRichard Krajewski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467049072
PECOS PAC ID: 1557766425
Enrollment ID: I20210817000283
Provider NameShivani Sanjay Rami
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316573603
PECOS PAC ID: 0345646402
Enrollment ID: I20210915001412
Provider NameEmilio Zayas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790454098
PECOS PAC ID: 8729477831
Enrollment ID: I20211111000563
Provider NameJennifer Alexis Aguirrie
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1326719113
PECOS PAC ID: 3173914553
Enrollment ID: I20211217001989
Provider NameAlex Sikora
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558973354
PECOS PAC ID: 9830580794
Enrollment ID: I20220103001735
Provider NameCatherine Lyons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972635563
PECOS PAC ID: 0143247890
Enrollment ID: I20220105001665
Provider NameZachary P Thill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417617150
PECOS PAC ID: 6507257235
Enrollment ID: I20220106001614
Provider NameTatiana Lehocky
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1417530569
PECOS PAC ID: 1456743012
Enrollment ID: I20220112000945
Provider NameSean Clark
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1720730831
PECOS PAC ID: 2264819689
Enrollment ID: I20220524001133
Provider NameMaurice Akin Lucre
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003546953
PECOS PAC ID: 7315328887
Enrollment ID: I20220714001536
Provider NameHuy Trinh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912674870
PECOS PAC ID: 7911380530
Enrollment ID: I20220815002828
Provider NameKatelyn M Punches
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1811625221
PECOS PAC ID: 3870979255
Enrollment ID: I20221008000361
Provider NameAgne Velicka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861116972
PECOS PAC ID: 9537536354
Enrollment ID: I20221108003386
Provider NameZach Cooper
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558770685
PECOS PAC ID: 0446628770
Enrollment ID: I20221117002372
Provider NameVasiliki Pavlou
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1437725876
PECOS PAC ID: 1557739497
Enrollment ID: I20221123003011
Provider NameBrittney Soukhone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154041077
PECOS PAC ID: 9537537105
Enrollment ID: I20221202000067
Provider NameMarin Rose Mcelroy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821712167
PECOS PAC ID: 3678943339
Enrollment ID: I20221221002788
Provider NameStephen Moon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295459311
PECOS PAC ID: 8123498789
Enrollment ID: I20221223001324
Provider NameBeata Nika
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669182200
PECOS PAC ID: 4789056011
Enrollment ID: I20230214000975
Provider NameKatherine Doyle
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1629768213
PECOS PAC ID: 1951768274
Enrollment ID: I20230601000948
Provider NameAshley Elizabeth Holzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982398996
PECOS PAC ID: 9830557255
Enrollment ID: I20230616001328
Provider NameEleni G Kioussis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427740950
PECOS PAC ID: 0840658746
Enrollment ID: I20230626001691
Provider NameSarrah M Ludwig
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437874542
PECOS PAC ID: 3678935186
Enrollment ID: I20230816000443
Provider NameFrancesca Severyns
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1659094787
PECOS PAC ID: 3577931781
Enrollment ID: I20240214002250
Provider NameJordan Larson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1568236248
PECOS PAC ID: 9638513302
Enrollment ID: I20240221001937
Provider NameAndrew Clevenger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033971411
PECOS PAC ID: 0345685665
Enrollment ID: I20240227001071
Provider NameRita Walsh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811779754
PECOS PAC ID: 6103262464
Enrollment ID: I20240308000836

Reviews and Comments

Physical Therapist in Chicago, IL

Philip K Mccullough Md Sc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611
Phone: 312-695-3680    Fax: 312-926-3709
Amy Lynn, Lcpc, Atr
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Medicare: Not Enrolled in Medicare
Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657
Phone: 773-746-7429    
K.a.m Alliance, Inc.
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Medicare: Medicare Enrolled
Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643
Phone: 773-239-9600    Fax: 773-239-9601
King Community Mental Health Center Corp
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653
Phone: 773-536-2700    Fax: 773-751-2250
Young Adult Program
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Medicare: Not Enrolled in Medicare
Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618
Phone: 773-572-5500    Fax: 773-537-3488
Professional Diagnostic Service, S.c.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 821 W Van Buren St, Chicago, IL 60607
Phone: 312-491-0404    Fax: 312-491-0505
Universal Medical Group Ltd.
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Medicare: Not Enrolled in Medicare
Practice Location: 809 E 42nd Pl, Chicago, IL 60653
Phone: 773-285-3422    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.