Individual provider Active NPI

Tinamarie J Ashbeck

  • Physical Therapist
  • Lake Forest, IL
National Provider Identifier
1215086319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
809 W Everett Rd
Lake Forest, IL 60045-2743
Phone
(847) 295-1223
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

809 W Everett Rd
Lake Forest, IL 60045-2743

Mailing address

809 W Everett Rd
Lake Forest, IL 60045-2743
Phone (847) 295-1223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000176 IL Practitioner - Physical Therapist in Private Practice 3173752581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Solutions Physical Therapy PCGroup PAC ID 6901035310, 3 clinicians

Practice addresses (Care Compare)

207 E Westminster
Suite 100
Lake Forest, IL 60045-1877
Phone (847) 295-1241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070011039ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Solutions Physical Therapy PC Physical Therapist CurrentSince Dec 16, 2013 Accepting new patients

Locations

207 E Westminster
Ste 100
Lake Forest, IL 60045
Phone (847) 295-1241

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215086319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W EVERETT RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452743",
            "telephone_number": "847-295-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W EVERETT RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452743",
            "telephone_number": "847-295-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBECK",
        "first_name": "TINAMARIE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "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": []
}

Other providers in Lake Forest, IL

Sources for this page

  • 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.
  • 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.