Individual provider Active NPI

Klarizz Bajar Montesco, PT

  • Physical Therapist
  • Arlington Heights, IL
National Provider Identifier
1306376959
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022917 Issued in IL
Practice address
3115 N Wilke Rd Ste a&B
Arlington Heights, IL 60004-1400
Phone
(224) 795-5700
Fax
(224) 795-5705
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 070022917 IL Primary

Addresses

Primary practice location

3115 N Wilke Rd Ste a&B
Arlington Heights, IL 60004-1400

Mailing address

315 S Naperville Rd
Wheaton, IL 60187-5423
Phone (630) 221-0200

Other names 1

  • Klarizz De la Plaza Bajar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207000778 IL Practitioner - Physical Therapist in Private Practice 3779952189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

600 Dunham Rd
St Charles, IL 60174-7885
Phone (630) 642-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070022917ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Care LLC Current Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Oct 28, 2022 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Oct 28, 2022 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

6300 Clarendon Hills Rd
Willowbrook, IL 60527
Phone (618) 534-7890

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1306376959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875423",
            "telephone_number": "630-221-0200",
            "fax_number": "630-384-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N WILKE RD STE A&B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041400",
            "telephone_number": "224-795-5700",
            "fax_number": "224-795-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESCO",
        "first_name": "KLARIZZ",
        "middle_name": "BAJAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KLARIZZ",
            "last_name": "BAJAR",
            "middle_name": "DE LA PLAZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.