Active NPI
Nicholas Wesolowski, PT
- Physical Therapist
- Darien, IL
National Provider Identifier
1356442792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014962
- Practice address
- 7511 Lemont Rd
Suite 204
Darien, IL 60561-4394 - Phone
- (630) 985-4010
- Fax
- (630) 985-4056
- NPI assigned
- Sep 26, 2006
- 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 Therapist | 225100000X | 070014962 | IL | Primary |
Addresses
Primary practice location
7511 Lemont Rd
Suite 204
Darien, IL 60561-4394
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00844074 | Other | IL | MEDICARE RR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
| Athletic and Therapeutic Institute of Joliet LLC | Physical Therapist | Past | Accepting new patients |
| Athletic &Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Physical Therapist
- Joliet, IL
- NPI 1598872921
-
- Physical Therapist
- Joliet, IL
- NPI 1932249109
-
- Physical Therapist
- Winfield, IL
- NPI 1265597157
-
- Physical Therapist
- Oswego, IL
- NPI 1457462053
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1356442792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7511 LEMONT RD",
"address_2": "SUITE 204",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614394",
"telephone_number": "630-985-4010",
"fax_number": "630-985-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESOLOWSKI",
"first_name": "NICHOLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00844074",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.