Jessica Bitzer, MPT – Physical Therapist

Key facts

NPI: 1114137353
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 070016344 (IL)
Practice address: 2333 Waukegan Rd Ste 120
Bannockburn, IL 60015-1541
Phone: (847) 405-7611
NPI assigned: May 23, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Still Water Physical Therapy and Massage, LTD Physical Therapist · Bannockburn, IL · NPI 1497995237

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
4550	OR	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Still Water Physical Therapy and Massage, LTD	Physical Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	4550	OR
Physical Therapist	225100000X	070016344	IL	Yes

Addresses

Primary practice location

2333 Waukegan Rd Ste 120
Bannockburn, IL 60015-1541

Mailing address

32 Lynn Dr
Hawthorn Woods, IL 60047-9102

Other practice location 1

363 N Main St Ste A
Wauconda, IL 60084-3036
Phone (847) 487-0290

Other providers in Bannockburn, IL

All providers in Bannockburn, IL · Physical Therapist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.