Active NPI
Ewa Martha Wisniewski, PT
- Physical Therapist
- Lafayette, IN
National Provider Identifier
1053283572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.029477
- Practice address
- 5165 McCarty LN
Lafayette, IN 47905-8764 - Phone
- (765) 448-8000
- NPI assigned
- Sep 23, 2025
- Last updated
- Jun 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05016288A | IN | |
| Physical Therapist | 225100000X | 070.029477 | IL | Primary |
| Physical Therapist | 225100000X | PTL21269 | CO | |
| Physical Therapist | 225100000X | 139358 | IA |
Addresses
Primary practice location
5165 McCarty LN
Lafayette, IN 47905-8764
Mailing address
8717 Coventry Dr
Woodridge, IL 60517-7503
Phone (630) 923-4729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL21269 | CO | MD | Physical Therapist |
| 070.029477 | IL | MD | Physical Therapist |
| 05016288A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1053283572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 COVENTRY DR",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605177503",
"telephone_number": "630-923-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 MCCARTY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058764",
"telephone_number": "765-448-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIEWSKI",
"first_name": "EWA",
"middle_name": "MARTHA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-23",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05016288A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.029477",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL21269",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "139358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
- Lori Martha Winger, D.C.
- Cecilia Ann Winkler, FNP
- Lauren E Winsauer, MD
- Janina Louise Winter, PHARMD
- Carrie Wirth, MD
- Witham Memorial Hospital (St. Mary Healthcare Center)
- Witham Memorial Hospital (The Springs at Lafayette)
- Mary Jo Withered, REGISTERED PHARMACIS
- Kristin Withers
- Susan A Wodrich, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.