Beth Muckler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

70015586 Issued in IL

Practice address

6300 N Ridge Ave
Chicago, IL 60660-1017

Phone

(773) 273-3040

Fax

(773) 973-4292

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1366566929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 N SEELEY AVE",
            "address_2": "1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251314",
            "telephone_number": "773-556-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N RIDGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601017",
            "telephone_number": "773-273-3040",
            "fax_number": "773-973-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKLER",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70015586",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "70015586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Grace Mucha, LCPC
• Zak Mucha, LCSW
• Anna Muchler
• Bella Nathaly Mucino, LSW
• Claire Muckian
• Jeffrey J. Mucksavage, PHARM.D.
• Jennifer Muczynski, RD, LDN
• Sukhraj Mudahar, PHARM.D.
• Luke Anthony Mudd, PSYD
• Marta Karolina Mudd, MD, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.