Active NPI
Joanne Beth Wolf, PT, DPT
- Physical Therapist
- Evanston, IL
National Provider Identifier
1255798831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.025051
- Practice address
- 3413 Church St
Evanston, IL 60203-1714 - Phone
- (202) 793-5597
- NPI assigned
- Jan 27, 2016
- Last updated
- Nov 30, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT871878 | DC | |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 070.025051 | IL | Primary |
Addresses
Primary practice location
3413 Church St
Evanston, IL 60203-1714
Mailing address
2911 W Lunt Ave
Chicago, IL 60645-2919
Phone (773) 859-1834
Other practice location 1
3301 New Mexico Ave NW
318
Washington, DC 20016-3622
Phone (202) 363-0454
Other practice location 2
1712 I St NW Ste 305
Washington, DC 20006-3766
Phone (202) 669-8098
Other practice location 3
3000 Connecticut Ave NW
Washington, DC 20008-2509
Phone (202) 681-8096
Other practice location 4
1875 Connecticut Ave NW Fl 10
Washington, DC 20009
Phone (202) 793-5597
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 |
|---|---|---|---|
| PT871878 | DC | MD | Physical Therapist |
| 070.025051 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1255798831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 W LUNT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606452919",
"telephone_number": "773-859-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 CHURCH ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602031714",
"telephone_number": "202-793-5597"
}
],
"practiceLocations": [
{
"address_1": "3301 New Mexico Ave NW",
"address_2": "318",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200163622",
"country_code": "US",
"telephone_number": "202-363-0454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1712 I St NW Ste 305",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200063766",
"country_code": "US",
"telephone_number": "202-669-8098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Connecticut Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200082509",
"country_code": "US",
"telephone_number": "202-681-8096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1875 Connecticut Ave NW Fl 10",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20009",
"country_code": "US",
"telephone_number": "202-793-5597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "JOANNE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT871878",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.025051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.