Adriana Wisniewski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.008450 Issued in IL

Practice address

1366 W Fullerton Ave
Chicago, IL 60614-2129

Phone

(773) 248-9300

NPI assigned

Nov 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1255800033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W OAKDALE AVE UNIT I",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574055",
            "telephone_number": "708-691-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142129",
            "telephone_number": "773-248-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "ADRIANA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PHYSICAL THERAPIST ASSISTANT",
            "identifier": "160.008450",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wisemind Chicago, LLC
• Lauren Jennifer Wishne, DNP
• Jacqueline M Wisinski, DMD
• Lauren Wiske
• Katie Loretta Wisniewski-Dubiel, DPT
• Elyse Marie Wisniewski
• James H Wisniewski, D.D.S.
• Mary C Wisniewski, ATC
• Sonia Paronian Wisniewski, PMHNP-BC
• Grazyna Wisniowska, L.C.P.C.,C.A.D.C.

• Physical Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.