Organization Active NPI

Healing Tree Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Wilmette, IL
National Provider Identifier
1114192655
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070003077 Issued in IL
Legal business name
HEALING TREE PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
1100 Central Ave
Suite G
Wilmette, IL 60091-2666
Phone
(847) 512-4070
Fax
(847) 512-4345
NPI assigned
Apr 25, 2008
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Carole A. Oser, DPTNPI 1659320315
Title
Physical Therapist/Owner
Phone
(847) 512-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070003077 IL Primary

Addresses

Primary practice location

1100 Central Ave
Suite G
Wilmette, IL 60091-2666

Mailing address

1100 Central Ave
Suite G
Wilmette, IL 60091-2666
Phone (847) 512-4070

Other identifiers 1

IdentifierTypeStateIssuer
01639010OtherILBC/BS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

9255 Skokie Blvd
Skokie, IL 60077
Phone (847) 644-9870

1100 Central Ave
Ste G
Wilmette, IL 60091
Phone (847) 512-4070

809 Ridge Rd
Ste 200
Wilmette, IL 60091
Phone (312) 304-6055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1114192655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE",
            "address_2": "SUITE G",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912666",
            "telephone_number": "847-512-4070",
            "fax_number": "847-512-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE",
            "address_2": "SUITE G",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912666",
            "telephone_number": "847-512-4070",
            "fax_number": "847-512-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TREE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "OSER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "847-512-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "01639010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.