B Wise Rehabilitation PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

B WISE REHABILITATION PLLC

Practice address

4754 N Lincoln Ave, FL 1
Chicago, IL 60625

Phone

(773) 564-9941

Fax

(773) 694-4841

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexa Bancel, DPTNPI 1265725063

Title

Owner

Phone

(312) 909-1510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Alexa Bancel, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1265725063
  Medicare reassignment Care Compare group NPD Authorized official
• Karson Barrett, PT, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1437847985
  Medicare reassignment Care Compare group NPD
• Rachel Wise, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1245544469
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1134726615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 N GREENVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571307",
            "telephone_number": "773-564-9941",
            "fax_number": "773-694-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 N LINCOLN AVE, FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-564-9941",
            "fax_number": "773-694-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B WISE REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "BANCEL",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-909-1510",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B & M Trasportation LLC (LM)
• B and B Mental Health LLC
• B N L Setty MD SC
• B Nettleton PSYD LLC
• B U I L D Incorporated
• B. H. Gerald Rogers, M.D., LTD
• B. R. T. Counseling PLLC
• B. Ronni Greenberg, Psy.D., PC
• B.E.F. Enterprises, Inc. (Eyedeas)
• B.S. Iyer M.D., S.C.

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.