Mario Sebastin Xavier, MHS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-016163 Issued in IL

Practice address

1130 South Michgan Ave, Apt# 2015
Chicago, IL 60605

Phone

(317) 285-8154

NPI assigned

Jun 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1164627485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S MICHIGAN AVE APT 2015",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052320",
            "telephone_number": "317-285-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SOUTH MICHGAN AVE, APT# 2015",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605",
            "telephone_number": "317-285-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAVIER",
        "first_name": "MARIO",
        "middle_name": "SEBASTIN",
        "name_prefix": "Mr.",
        "credential": "MHS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008916A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-016163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Wysocki
• Nicole M Wysocki, MD
• Robert Wysocki, MD
• Xaia Bodymind Wellness Suite, LLC
• Renee Xamplas, PHARMD
• Xenon Anesthesia of Illinois LLC
• Helen P Xenos
• Sylvia XI-Moy, M.D., S.C.
• Renlin Xia, MD
• Bingtao Xiang

• 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 Nov 11, 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.