Active NPI
Lisa Marie Biewer, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1114129194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70012730
- Practice address
- 1401 S California Ave
Chicago, IL 60608-1858 - Phone
- (773) 522-2010
- NPI assigned
- Jun 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70012730 | IL | Primary |
| Physical Therapist | 225100000X | 33690 | CA |
Addresses
Primary practice location
1401 S California Ave
Chicago, IL 60608-1858
Mailing address
3845 N Ashland Ave Apt 4C
Chicago, IL 60613-2788
Phone (773) 505-7325
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70012730 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114129194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 N ASHLAND AVE APT 4C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132788",
"telephone_number": "773-505-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081858",
"telephone_number": "773-522-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEWER",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70012730",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33690",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.