Johnny Passarelli, PT, MPT, CSCS, SCS
NPI 1265461958ActiveIndividual· Physical Therapist· Fox Lake, IL
Physical Therapist (PT, MPT, CSCS, SCS) in Fox Lake, Illinois, licensed in IL and WI, with an NPI issued in July 2006.
Overview
| NPI | 1265461958 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, MPT, CSCS, SCS |
| Sole proprietor | No |
| NPI issued | Jul 3, 2006 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070-010887 | IL |
| Physical Therapist | 225100000X | 6036024 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Fox Lake
- 1003210287
- 1548705544
- 1619608809
- 1144786542
- 1780312538
- 1336952142
- 1083219596
- 1639371776
- 1770916447
- 1154275071
- 1194744995
- 1063903417