Daniel Wrzosek

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

555 E Townline Rd
Sute 24
Vernon Hills, IL 60061-1552

Phone

(847) 573-0051

Fax

(847) 573-0345

NPI assigned

Jun 16, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Saint Louis University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Physical Therapy and Fitness, LLCGroup PAC ID 3274865472, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevate Physical Therapy and Fitness, LLC

  • Physical Therapy Clinic/Center
  • River Forest, IL
  • NPI 1376006619

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1043624323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 N CLARK ST",
            "address_2": "SUTE 24",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143853",
            "telephone_number": "847-573-0051",
            "fax_number": "847-573-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TOWNLINE RD",
            "address_2": "SUTE 24",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611552",
            "telephone_number": "847-573-0051",
            "fax_number": "847-573-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRZOSEK",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women'S Residential Services
• Sarah So-Chui Wong, MD
• Gordon Chase Wood, MD
• Megan Woodruff, LCP
• Megan Mulvey Worthington, AUD
• Megumi Yanase, M.SC.,D.V.M.
• Rachel Yi, LSW
• Alison T Yu, LPC
• Mary Tripti Zacharia, P.T.
• Gretchen Selzer Zagzebski

• Physical Therapist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.