Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Andrew Bastin

Individual provider Physical Therapist · NPI 1700555745

Jacob Andrew Bastin is a Physical Therapist in Private Practice in South Elgin, Illinois. Qualified in 2021, 5 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

722 N McLean Blvd
South Elgin, IL 60177-1429
Phone: (847) 695-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13847 W 63rd St Ste 2, Shawnee, KS 66216-3800 — (913) 962-7774

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070028718 (IL)

Record details

NPI number1700555745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Elgin