Active NPI
Neil Dominic Seno Villarosa
- Physical Medicine & Rehabilitation Physician
- Woodridge, IL
National Provider Identifier
1255999744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 070021740
- Practice address
- 7313 Woodward Ave Apt 301
Woodridge, IL 60517-2549 - Phone
- (630) 915-4474
- NPI assigned
- May 30, 2019
- Sex
- Male
- 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 Medicine & Rehabilitation Physician | 208100000X | 070021740 | IL | Primary |
Addresses
Primary practice location
7313 Woodward Ave Apt 301
Woodridge, IL 60517-2549
Mailing address
7313 Woodward Ave Apt 301
Woodridge, IL 60517-2549
Phone (630) 915-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V462-6248-6043 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Woodridge |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Naperville, IL 60563
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070021740 | IL | MD | Physical Medicine & Rehabilitation Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Naperville, IL
- NPI 1033755566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1255999744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7313 WOODWARD AVE APT 301",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172549",
"telephone_number": "630-915-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7313 WOODWARD AVE APT 301",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172549",
"telephone_number": "630-915-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAROSA",
"first_name": "NEIL DOMINIC",
"middle_name": "SENO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "070021740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "V462-6248-6043",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Woodridge",
"affiliation": "N",
"address_1": "7313 Woodward Ave Apt 301",
"city": "Woodridge",
"state": "IL",
"country_code": "US",
"postal_code": "605172549",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.