Individual provider Active NPI

Piotr Solowiej

  • Physical Therapist
  • Northfield, IL
National Provider Identifier
1104279918
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1847 Oak St
Northfield, IL 60093-3013
Phone
(847) 752-0006
NPI assigned
Jul 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1847 Oak St
Northfield, IL 60093-3013

Mailing address

1744 Maple LN
Wheaton, IL 60187-3317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912000510 IL Practitioner - Physical Therapist in Private Practice 0941596316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Sapiens Physical Therapy LLCGroup PAC ID 2163780073, 3 clinicians

Practice addresses (Care Compare)

1942 Raymond Dr
Northbrook, IL 60062-6715
Phone (630) 447-9746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution PTWL LLC Physical Therapist CurrentSince Aug 11, 2016 Accepting new patients
Team Sapiens Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients

Locations

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

1942 Raymond Dr
Northbrook, IL 60062
Phone (630) 447-9746

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1104279918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 MAPLE LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 OAK ST",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933013",
            "telephone_number": "847-752-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOWIEJ",
        "first_name": "PIOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.