Andrew M Bartkowski, R.P.T.,M.SC.,M.B.A.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070006767 Issued in IL

Practice address

1927 Sherman Ave # 3
Evanston, IL 60201-6100

Phone

(847) 328-7316

Fax

(847) 425-5155

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Fmdce/ Montclare Physical Therapy

  • Physical Therapist
  • Evanston, IL
  • NPI 1699975003
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1235257213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 SHERMAN AVE # 3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016100",
            "telephone_number": "847-328-7316",
            "fax_number": "847-425-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 SHERMAN AVE # 3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016100",
            "telephone_number": "847-328-7316",
            "fax_number": "847-425-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTKOWSKI",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "R.P.T.,M.SC.,M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006767",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070006767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa A Barriga, LCSW
• Dillon James Barron, MD
• Nora Jane Barry, LCSW
• Jane Barthes
• Scott James Barthlama, MS ATC LAT CSCS
• Susan Bartlett-Ammann, RN, BSN,IBCLC
• Isabella Aurora Bartlett
• Arica Rae Barton, MA, LCPC
• Deanna C. Barton, PA-C
• Julie L Barton, M.D.

• Physical Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.