Active NPI
Beyer Physical Therapy LLC
- Physical Therapist
- Wilmette, IL
National Provider Identifier
1144465014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070007665
- Legal business name
- BEYER PHYSICAL THERAPY LLC
- Practice address
- 3545 Lake Ave
Suite 203
Wilmette, IL 60091-1058 - Phone
- (847) 853-4405
- Fax
- (847) 853-4410
- NPI assigned
- Dec 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra Marie Beyer, PT
- Title
- Manager
- Phone
- (847) 853-4405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070007665 | IL | Primary |
Addresses
Primary practice location
3545 Lake Ave
Suite 203
Wilmette, IL 60091-1058
Mailing address
3545 Lake Ave
Suite 203
Wilmette, IL 60091-1058
Phone (847) 853-4405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
778 W Frontage Rd
Ste 112
Northfield, IL 60093
Phone (224) 255-6799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Northfield, IL
- NPI 1073788303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228694400000",
"number": "1144465014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 LAKE AVE",
"address_2": "SUITE 203",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911058",
"telephone_number": "847-853-4405",
"fax_number": "847-853-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 LAKE AVE",
"address_2": "SUITE 203",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911058",
"telephone_number": "847-853-4405",
"fax_number": "847-853-4410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYER PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-08",
"last_updated": "2008-12-08",
"status": "A",
"authorized_official_last_name": "BEYER",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-853-4405",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070007665",
"primary": true
}
],
"identifiers": [],
"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 Dec 8, 2008; 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.