Individual provider Active NPI

Elizabeth A Wolfe, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1285854323
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018911 Issued in IL
Practice address
122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173
Phone
(312) 986-9833
Fax
(312) 962-8855
NPI assigned
Apr 30, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2005005742 MO
Physical Therapist 225100000X 070018911 IL Primary

Addresses

Primary practice location

122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173

Mailing address

122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173
Phone (312) 986-9833

Other practice location 1

1246 W Belmont Ave
Chicago, IL 60657-3207
Phone (773) 888-5480

Other practice location 2

1246 W Belmont Ave
Chicago, IL 60657-3207
Phone (773) 888-5480

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
2005005742MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness by Physiatry, PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

2555 N Southport Ave
Ste 1
Chicago, IL 60614

30 N Michigan Ave
Ste 506
Chicago, IL 60602
Phone (773) 312-4423

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, 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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285854323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036173",
            "telephone_number": "312-986-9833",
            "fax_number": "312-962-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036173",
            "telephone_number": "312-986-9833",
            "fax_number": "312-962-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1246 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573207",
            "country_code": "US",
            "telephone_number": "773-888-5480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1246 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573207",
            "country_code": "US",
            "telephone_number": "773-888-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005005742",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.