Wellness Solutions Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011039 Issued in IL

Legal business name

WELLNESS SOLUTIONS PHYSICAL THERAPY PC

Doing business as

Wellness Solutions Physical Therapy

Practice address

775 N Bank LN
Suite 104
Lake Forest, IL 60045-1890

Phone

(847) 295-1241

Fax

(847) 481-0234

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Tinamarie J Ashbeck, PTNPI 1215086319

Title

Owner

Phone

(847) 295-1241

Specialties & licenses 1

Addresses

Other names 1

• Wellness Solutions Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tinamarie J Ashbeck

  • Physical Therapist
  • Lake Forest, IL
  • NPI 1215086319
  Medicare reassignment Care Compare group NPD Authorized official
• Kiana Cencula

  • Physical Therapist
  • Lake Forest, IL
  • NPI 1487535399
  Medicare reassignment Care Compare group
• Paul Dan Serban, DPT

  • Physical Therapist
  • Elmhurst, IL
  • NPI 1932085891
  Medicare reassignment Care Compare group
• Emily Elizabeth Srnka, PT, DPT

  • Physical Therapist
  • Lake Forest, IL
  • NPI 1154790178
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1366886509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 S WEST FORK DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453541",
            "telephone_number": "847-295-1241",
            "fax_number": "847-481-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N BANK LN",
            "address_2": "SUITE 104",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451890",
            "telephone_number": "847-295-1241",
            "fax_number": "847-481-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS SOLUTIONS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "ASHBECK",
        "authorized_official_first_name": "TINAMARIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-295-1241",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Solutions Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey A Waskin, DO
• Nancy Watson, LCSW, CADC
• Chang Wee, MD
• Regis J Weiss, M.D.
• Elizabeth Weldon, MSW
• Wellview Partners, LLC (Wellness From The Inside Out)
• Sean Robert Wessel, M.D.
• Anna West, PA-C
• Westmoreland Obstetric & Gynecologic Associates, S.C.
• Victoria Catherine Weston, M.D.

• Physical Therapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.