Active NPI
Colleen L Wood, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1053629295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-018071
- Practice address
- 1455 W Webster Ave # 4
Chicago, IL 60614 - Phone
- (773) 871-3100
- Fax
- (773) 871-7388
- NPI assigned
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-018071 | IL | Primary |
Addresses
Primary practice location
1455 W Webster Ave # 4
Chicago, IL 60614
Mailing address
625 Enterprise Dr.
Oak Brook, IL 60523-8813
Phone (630) 575-6250
Other practice location 1
1953 N Clybourn Ave
Unit S
Chicago, IL 60614-4945
Phone (773) 871-3100
Other names 1
- Colleen L Burke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-018071 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1053629295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR.",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 W WEBSTER AVE # 4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-871-3100",
"fax_number": "773-871-7388"
}
],
"practiceLocations": [
{
"address_1": "1953 N Clybourn Ave",
"address_2": "Unit S",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606144945",
"country_code": "US",
"telephone_number": "773-871-3100",
"fax_number": "773-871-7388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "COLLEEN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-018071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "BURKE",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.