Active NPI
Michelle Christine Walaszek, PT, DPT, MS
- Physical Therapist
- Glen Ellyn, IL
National Provider Identifier
1255975538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.024601
- Practice address
- 430 Pennsylvania Ave Ste 240
Glen Ellyn, IL 60137-4464 - Phone
- (630) 967-2000
- NPI assigned
- Oct 30, 2019
- Last updated
- Nov 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.024601 | IL | Primary |
Addresses
Primary practice location
430 Pennsylvania Ave Ste 240
Glen Ellyn, IL 60137-4464
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-3024
Phone (630) 469-2000
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.024601 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1255975538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606743024",
"telephone_number": "630-469-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 PENNSYLVANIA AVE STE 240",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374464",
"telephone_number": "630-967-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALASZEK",
"first_name": "MICHELLE",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PT, DPT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.024601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.