Mary Lakag Paunilian, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021983 Issued in IL

Practice address

3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334

Phone

(847) 849-1523

Fax

(847) 890-6145

NPI assigned

Nov 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ewima Rehab LLCGroup PAC ID 0749729481, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ewima Rehab, LLC

  • Chiropractor
  • Northbrook, IL
  • NPI 1396586038

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1356987317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905021",
            "telephone_number": "773-973-7570",
            "fax_number": "773-973-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DUNDEE RD STE 230",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622334",
            "telephone_number": "847-849-1523",
            "fax_number": "847-890-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUNILIAN",
        "first_name": "MARY",
        "middle_name": "LAKAG",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ewimarehab@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "address_1": "3400 Dundee Rd Ste 230",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patient Centered Care Partners Inc
• Patrick R. Magner, DMD, P.C.
• Caroline Patrick
• Nicole E Patterson, PSYD
• Briana Paulman, PHD
• Ewa Pawelko, IBCLC
• Alexandra Justine Pawelski
• Natalie Carol Pawlowski, PMHNP-BC
• Pcpa Legacy, LLC
• Peak Mental Health Counseling LLC

• Physical Therapist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.