Individual provider Active NPI

Bozena Grazyna Okulska Gozdalski, PT

  • Physical Therapist
  • Glenview, IL
National Provider Identifier
1194970285
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.007604 Issued in IL
Practice address
1014 Queens LN
Glenview, IL 60025-1942
Phone
(847) 729-2432
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 070.007604 IL Primary

Addresses

Primary practice location

1014 Queens LN
Glenview, IL 60025-1942

Mailing address

1014 Queens LN
Glenview, IL 60025-1942
Phone (847) 729-2432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000612 IL Practitioner - Physical Therapist in Private Practice 3577606094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Plus Health Solutions IncGroup PAC ID 8325434004, 2 clinicians

Practice addresses (Care Compare)

9711 Skokie Blvd
Suite F
Skokie, IL 60077-1384
Phone (847) 674-4450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.007604ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Plus Health Solutions Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients

Locations

9711 Skokie Blvd
Ste F
Skokie, IL 60077
Phone (773) 282-4300

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1194970285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 QUEENS LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251942",
            "telephone_number": "847-729-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 QUEENS LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251942",
            "telephone_number": "847-729-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKULSKA GOZDALSKI",
        "first_name": "BOZENA",
        "middle_name": "GRAZYNA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.007604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.