Individual provider Active NPI

Paulina Mroczek, DPT

  • Physical Therapist
  • Mount Prospect, IL
National Provider Identifier
1306652045
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028777 Issued in IL
Practice address
609 N Main St Ste 101
Mount Prospect, IL 60056-2160
Phone
(847) 670-1111
Fax
(847) 670-1113
NPI assigned
Dec 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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 070.028777 IL Primary

Addresses

Primary practice location

609 N Main St Ste 101
Mount Prospect, IL 60056-2160

Mailing address

609 N Main Street
Ste. 101
Mount Prospect, IL 60056
Phone (847) 670-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203003618 IL Practitioner - Physical Therapist in Private Practice 6901336122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Care Center SCGroup PAC ID 2860486669, 4 clinicians

Practice addresses (Care Compare)

609 N Main St
Suite 101
Mount Prospect, IL 60056-2160
Phone (847) 670-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028777ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Care Center SC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients

Locations

609 N Main St
Ste 101
Mt Prospect, IL 60056
Phone (847) 670-1111

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.

NPI Registry JSON

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1306652045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N MAIN STREET",
            "address_2": "STE. 101",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-670-1111",
            "fax_number": "847-670-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N MAIN ST STE 101",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562160",
            "telephone_number": "847-670-1111",
            "fax_number": "847-670-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROCZEK",
        "first_name": "PAULINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.