Nicole McGrath, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160009474 Issued in IL

Practice address

233 Waukegan Rd
Lake Bluff, IL 60044-1666

Phone

(847) 735-8104

NPI assigned

Nov 17, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1043977762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 ODELL AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WAUKEGAN RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441666",
            "telephone_number": "847-735-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160009474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Mattero
• Lisa Mayer Levy, LCSW
• Wendy Lou McCarty, LMFT
• Barbara J McCaskey, O.D.
• Caitlin M McEnerney, FNP-BC
• Lynn M McIntyre, PHD LCSW
• McLaughlin Chiropractic Clinic
• McLaughlin Chiropractic Clinic LTD
• Julie A McLaughlin, DC
• Jacob Michael McNamara

• Physical Therapy Assistant in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.