Individual provider Active NPI

Elizabeth June Williamson, D,P,T

  • Physical Therapist
  • Oak Park, IL
National Provider Identifier
1265470884
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.015086 Issued in IL
Practice address
610 S Maple Ave
Suite 3500
Oak Park, IL 60304-1091
Phone
(708) 934-7062
Fax
(708) 934-7065
NPI assigned
Jun 4, 2006
Last updated
Aug 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.015086 IL Primary

Addresses

Primary practice location

610 S Maple Ave
Suite 3500
Oak Park, IL 60304-1091

Mailing address

3550 N Lake Shore Dr
Unit 711
Chicago, IL 60657-1944
Phone (815) 519-6582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924000644 IL Practitioner - Physical Therapist in Private Practice 3476804907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

1020 E Ogden Ave
Suite 207
Naperville, IL 60563-8610
Phone (331) 215-9820

605 Madison St
Oak Park, IL 60302-4408
Phone (708) 763-8597

826 W Touhy Ave
Park Ridge, IL 60068-3352
Phone (847) 720-4165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.015086ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC. CurrentSince Oct 26, 2020 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Rci (WRS), LLC CurrentSince Oct 26, 2020 Accepting new patients

Locations

1804 Centre Point Cir
Ste 102
Naperville, IL 60563
Phone (630) 955-1940

610 S Maple Ave
Ste 3500
Oak Park, IL 60304
Phone (708) 934-7062

9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1265470884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N LAKE SHORE DR",
            "address_2": "UNIT 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571944",
            "telephone_number": "815-519-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE",
            "address_2": "SUITE 3500",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041091",
            "telephone_number": "708-934-7062",
            "fax_number": "708-934-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ELIZABETH",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "D,P,T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.

Verify at the official NPI Registry.