John Statza

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

324 Ashland Ave
Highwood, IL 60040-1104

Phone

(847) 433-7558

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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.

• Movement Possibilities

  • Physical Therapist
  • Highwood, IL
  • NPI 1487703419
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154470102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ASHLAND AVE",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ASHLAND AVE",
            "city": "HIGHWOOD",
            "state": "IL",
            "postal_code": "600401104",
            "telephone_number": "847-433-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATZA",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Salse, MSN, APRN, FNP-BC
• Ismael Gerald Salvador, D.M.D.
• Domingo A. Sandoval, OTR
• Michelle Smekens, RD
• Gladis Soriano, FNP-C
• Sophie Streveler
• The North Shore IV Center
• Guy Venturato, LSW
• Walgreen Co

• All providers in Highwood, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.