Individual provider Active NPI

Wesley J Williams, P.T.

  • Physical Therapist
  • Morris, IL
National Provider Identifier
1235260811
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070003654 Issued in IL
Practice address
1051 W US Route 6
Suite 400
Morris, IL 60450-4200
Phone
(815) 942-8301
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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 070003654 IL Primary

Addresses

Primary practice location

1051 W US Route 6
Suite 400
Morris, IL 60450-4200

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000328 IL Practitioner - Physical Therapist in Private Practice 2264447028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution PTWL LLCGroup PAC ID 7719115617, 42 clinicians

Practice addresses (Care Compare)

845 N Michigan Ave
Suite 973W
Chicago, IL 60611-2218
Phone (312) 878-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution PTWL LLC Physical Therapist CurrentSince Feb 15, 2020 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Dec 31, 2022 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Dec 31, 2022 Accepting new patients

Locations

3168 N Broadway St
Chicago, IL 60657
Phone (312) 586-7977

845 N Michigan Ave
Chicago, IL 60611
Phone (312) 751-0026

4851 N Milwaukee Ave
Chicago, IL 60630
Phone (773) 241-7350

3418 S Halsted St
Chicago, IL 60608
Phone (773) 337-7627

205 N Wells St
Chicago, IL 60606
Phone (312) 957-8882

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

720 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 730-8456

2200 Waukegan Rd
Glenview, IL 60025
Phone (312) 475-1893

1125 Westgate St
Oak Park, IL 60301
Phone (708) 848-0040

2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960

28 N Cass Ave
Westmont, IL 60559
Phone (630) 435-1800

Organizations & group practices 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1235260811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W US ROUTE 6",
            "address_2": "SUITE 400",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604504200",
            "telephone_number": "815-942-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WESLEY",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.