Teresa Ann Walus, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160003292 Issued in IL

Practice address

13751 W Chicago Bloomington TRL
Homer Glen, IL 60491-6116

Phone

(815) 485-4744

NPI assigned

Sep 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1376793786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 W CHICAGO BLOOMINGTON TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916116",
            "telephone_number": "815-485-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 W CHICAGO BLOOMINGTON TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916116",
            "telephone_number": "815-485-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALUS",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160003292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Planer Venegoni, DDS
• Vittori Foot & Ankle Specialist Inc
• Christopher Michael Vittori, D.P.M.
• Barbara Vodnik
• Jodi Kay Walsh, MA LCPC
• Nicole Warner, LCPC
• Stephen Wasniewski, RPH
• Vicki Watt, D.C.
• Wayne R. Helge, DDS & Associates, LTD
• Dana S Weith, DPT

• Physical Therapy Assistant in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.