Active NPI
Janice Marie Hussong, P.T.
- Physical Therapist
- Wheaton, IL
National Provider Identifier
1194823187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.003626
- Practice address
- 1514 Mayo Ave
Wheaton, IL 60189-6130 - Phone
- (630) 690-5286
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.003626 | IL | Primary |
Addresses
Primary practice location
1514 Mayo Ave
Wheaton, IL 60189-6130
Mailing address
1514 Mayo Ave
Wheaton, IL 60189-6130
Phone (630) 690-5286
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.003626 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innerpeace Natural Healthcare | Past | 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 and National Provider Directory roles.
-
- Specialist
- Joliet, IL
- NPI 1417067596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1194823187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 MAYO AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601896130",
"telephone_number": "630-690-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 MAYO AVE",
"city": "WHEATON",
"state": "IL",
"postal_code": "601896130",
"telephone_number": "630-690-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSONG",
"first_name": "JANICE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.003626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.