Becky Henning Bushaw, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160-002572 Issued in IL

Practice address

1268 Sheridan Rd
Highland Park, IL 60035-4120

Phone

(847) 432-3833

Fax

(847) 432-1232

NPI assigned

Feb 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabilitation Associates,LTD

  dba glantz/richman rehabilitation associates

  • Occupational Therapist
  • Highland Park, IL
  • NPI 1891806584
  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1114166436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 SHERIDAN RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354120",
            "telephone_number": "847-432-3833",
            "fax_number": "847-432-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 SHERIDAN RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354120",
            "telephone_number": "847-432-3833",
            "fax_number": "847-432-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING BUSHAW",
        "first_name": "BECKY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160-002572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BC#0492189",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Diane Hege, LCSW
• Katherine Elizabeth Heile, MS CCC SLP
• Lucinda Heineman, OTR/L
• Tricia Heneghan, AU.D.
• Alexis E Henion, PA-C
• Amyra W. Henry, MSW
• Jeffrey David Henson, DC
• Tyler Henson, LMT
• Stephen Terence Herczeg, PH.D.
• Here for You Therapy PLLC

• Physical Therapy Assistant in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.