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

Mary Jane South, MPT

Individual provider Physical Therapist · NPI 1508283714

Mary Jane South, MPT is a Physical Therapist in Private Practice in Glencoe, Illinois. Qualified in 1994, 32 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Virginia.

Years since qualifying
32
Licensed in
IL, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

401 Jefferson Ave
Glencoe, IL 60022-1825
Phone: (847) 786-3003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14302 Winterview Pkwy, Midlothian, VA 23113-4386 — (804) 601-6010

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305214253 (VA)
Physical Therapist Taxonomy 225100000X · Licence 070013316 (IL)

Record details

NPI number1508283714
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedMarch 25, 2014
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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