CENTER FOR PHYSICAL THERAPY INC (NPI# 1063891240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063891240 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PHYSICAL THERAPY INC |
| Practice Address |
3545 Lake Ave Suite 100 and 102 Wilmette IL 60091-1058 |
| Practice Telephone | 8479207887 |
| Practice Fax Number | 8474236190 |
| Mailing Telephone | 8479207887 |
| Mailing Fax Number | 8474236190 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Authorized Official Name | DANICA BURIC (THERAPIST IN CHARGE) |
| Authorized Official Telephone | 7738272355 |
| Authorized Official Credential | P.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 174400000X | Specialist | 070021324 | IL | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CENTER FOR PHYSICAL THERAPY INC. | 21018 Se 24th St, Sammamish, WA 98075-9623 |
| Street Address |
3545 LAKE AVE SUITE 100 AND 102 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183920 | Consultants In Neurology, Ltd | Psychiatry & Neurology | 3545 Lake Ave, Suite 100, Wilmette, IL 60091-1058 | 2005-09-06 |
| 1285280883 | Cynthia Suarez Eudy | Social Worker | 3545 Lake Ave, Wilmette, IL 60091-1058 | 2019-08-11 |
| 1467831768 | Danica Buric | Physical Therapist | 3545 Lake Ave, Wilmette, IL 60091-1058 | 2015-05-20 |
| 1881085447 | Robin Lake | Social Worker | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 | 2015-02-18 |
| 1285040733 | Sari Glazebrook | Social Worker | 3545 Lake Ave, Wilmette, IL 60091-1058 | 2014-07-05 |
| 1932542131 | Paula P. Merucci | Counselor | 3545 Lake Ave, Ste 200, Wilmette, IL 60091-1058 | 2013-04-08 |
| 1871838011 | Heather Ann Steward | Social Worker | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 | 2012-11-28 |
| 1346572666 | Maren W Deaver | Social Worker | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 | 2010-02-11 |
| 1629200795 | Javier Steven Alonso | Counselor | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 | 2009-08-21 |
| 1396977765 | Powers Physical Therapy LLC | Clinic/Center | 3545 Lake Ave, Suite 203, Wilmette, IL 60091-1058 | 2009-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598122566 | Images Med Spa Old Orchard LLC | Specialist | 505 Skokie Blvd, Wilmette, IL 60091-2131 | 2016-01-21 |
| 1336539451 | Terrie Bridgman | Specialist | 1232 Greenwood Ave, Wilmette, IL 60091-1622 | 2015-01-27 |
| 1467653386 | North Suburban Nephrologists | Specialist | 343 Ridge Rd Ste A, Wilmette, IL 60091-3251 | 2007-05-29 |
| 1144433533 | Patricia Berg-drazin | Specialist | 1237 Manor Dr, Wilmette, IL 60091-1028 | 2007-05-08 |
| 1952369217 | North Shore Physicians Group, LLC | Specialist | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2006-05-03 |
| 1801041645 | North Suburban Nephrology LLC | Specialist | 343 Ridge Rd Ste A, Wilmette, IL 60091-3251 | 2008-11-20 |
| 1942423587 | Peter R. Lewy, Md, Ltd | Specialist | 1100 Central Ave, Suite H, Wilmette, IL 60091-2666 | 2007-04-11 |
| 1134250095 | Elysa B Fisher | Specialist | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2007-03-09 |
| 1730218082 | Benjamin M. Kaplan | Specialist | 900 Sheridan Rd, Wilmette, IL 60091-1938 | 2007-03-05 |
| 1558390849 | Peak Therapeutics, Ltd | Specialist | 3545 Lake Ave, Suite 103, Wilmette, IL 60091-1058 | 2006-07-01 |
| Find all providers in WILMETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.