Individual provider Active NPI

Joanne Beth Wolf, PT, DPT

  • Physical Therapist
  • Evanston, IL
National Provider Identifier
1255798831
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.025051 Issued in IL
Practice address
3413 Church St
Evanston, IL 60203-1714
Phone
(202) 793-5597
NPI assigned
Jan 27, 2016
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT871878DCMDPhysical Therapist
070.025051ILMDPhysical 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.

Verify at the official NPI Registry.