Individual provider Active NPI

Mary Jo Schmitz, PT

  • Physical Therapist
  • Wilmette, IL
National Provider Identifier
1154626653
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-002868 Issued in IL
Practice address
3330 Old Glenview Rd.
Suite 4
Wilmette, IL 60091
Phone
(847) 853-8055
Fax
(847) 853-8057
NPI assigned
Jan 14, 2011
Last updated
Jan 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-002868 IL Primary

Addresses

Primary practice location

3330 Old Glenview Rd.
Suite 4
Wilmette, IL 60091

Mailing address

3330 Old Glenview Rd.
Suite 4
Wilmette, IL 60091
Phone (847) 853-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-002868ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Jo Schmitz Physical Therapist PastSince Sep 23, 1994 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1154626653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD.",
            "address_2": "SUITE 4",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "60091",
            "telephone_number": "847-853-8055",
            "fax_number": "847-853-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD.",
            "address_2": "SUITE 4",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "60091",
            "telephone_number": "847-853-8055",
            "fax_number": "847-853-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-002868",
            "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 Jan 14, 2011; 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.