Scott M Wirth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-015955 Issued in IL

Practice address

635 Executive Dr
Willowbrook, IL 60527-5603

Phone

(630) 455-6630

Fax

(630) 455-6631

NPI assigned

Jun 19, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Athletic and Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • Willowbrook, IL
  • NPI 1144331794
  NPD

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1053516088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 W. RT 102",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604819743",
            "telephone_number": "217-390-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 EXECUTIVE DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275603",
            "telephone_number": "630-455-6630",
            "fax_number": "630-455-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-015955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00915453",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willowbrook Dentistry for Children, LLC
• Willowbrook Family Practice LTD
• Willowbrook Medical Center LTD.
• Jennifer A Wilson, PT
• Laura A Wilson, FNP-C
• Wisdom Care & Consulting Services, Inc
• Womens Pelvic Heatlh LLC
• Kathleen Ann Wood, PT
• Cetrice Wright, RBT-17-44336
• Kendra Wright

• Physical Therapist in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.