NPPES file of Aug 9, 2026

Form Physical Therapy, LLC in Westchester, IL

This location of Form Physical Therapy bills under NPI 1700516820, an organization record issued on Jun 13, 2022 with the primary taxonomy Physical Therapist. It is one of 5 NPIs registered under this name; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1700516820
Legal name
Form Physical Therapy, LLC
Entity
Type 2 · organization
Primary taxonomy
Physical Therapist 225100000X
Practice location
10356 ROOSEVELT RD, Westchester, IL 60154
Phone
708-497-4600
Enumerated
Jun 13, 2022
Record updated
Jul 26, 2023
Authorized official
Owner (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

4 clinicians CMS lists with Form Physical Therapy in Westchester

  1. Kevin Elavia, DPTPhysical Therapist1831445170
  2. Karli Korsch, PT DPTPhysical Therapist1952657090
  3. Stefanie Lawton, PTPhysical Therapist1164700274
  4. Lindsey Waite, DPTPhysical Therapist1740902089

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 5 Form Physical Therapy NPIs

Every location registered under this name, in 5 cities.

See every location

Checking an organization

  1. Confirm the business with the Illinois secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.