Mackenzie Bartelli, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070015680 Issued in IL

Practice address

1500 Waukegan Rd Ste 250
Carillon Square
Glenview, IL 60025-2165

Phone

(847) 657-9445

Fax

(847) 657-9450

NPI assigned

Apr 10, 2007

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

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Lake Physical Therapy and Rehab LPGroup PAC ID 4082853825, 39 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.

• North Lake Physical Therapy and Rehab LP

  • Physical Therapist
  • Lake Oswego, OR
  • NPI 1316383201
  Medicare reassignment Care Compare group NPD
• Oregon Sports Medicine Associates

  • Specialist
  • Tigard, OR
  • NPI 1093713729
  Medicare reassignment

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1063535201",
    "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": "1500 WAUKEGAN RD STE 250",
            "address_2": "CARILLON SQUARE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252165",
            "telephone_number": "847-657-9445",
            "fax_number": "847-657-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELLI",
        "first_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ermilo Barrera, MD
• Nicholas Barrios
• Judy Barry, LCSW
• Emma-Lorraine B Bart-Plange
• Marl Richard Urbina Barte
• Michael A Barth, DDS
• Heather Bartusek, PA-C
• Selena Basic
• Christine Alaine Baskerville, LPTA
• Kathryn Basso

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.