Active NPI
Margaret Omole, P.T
- Physical Therapist
- Evergreen Park, IL
National Provider Identifier
1396024089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018585
- Practice address
- 3847 W 95TH St
Evergreen Park, IL 60805-2020 - Phone
- (708) 422-4441
- Fax
- (708) 422-2122
- NPI assigned
- Aug 11, 2011
- Last updated
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 070018585 | IL | Primary |
Addresses
Primary practice location
3847 W 95TH St
Evergreen Park, IL 60805-2020
Mailing address
3847 W 95TH St
Evergreen Park, IL 60805-2020
Phone (708) 422-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070018585 | Other | IL | PHYSICAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018585 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| FJ Home Health Care Inc | Past | Accepting new patients | |
| Home Therapy Associates | Past | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
- Home Health Agency
- Oak Lawn, IL
- NPI 1053445320
-
- In Home Supportive Care Agency
- Evergreen Park, IL
- NPI 1457590275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1396024089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3847 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052020",
"telephone_number": "708-422-4441",
"fax_number": "708-422-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3847 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052020",
"telephone_number": "708-422-4441",
"fax_number": "708-422-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOLE",
"first_name": "MARGARET",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "070018585",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
- Adedotun A. Ogunsua, M.D.
- Oliver Drabkin M.D. S.C.
- Nancy Ann Olsen, APN
- Jessica L Olson, LCPC
- Iyad S Omar, R.D.H, B.S.
- Chijoke H Onyenwenyi, MD
- Optech Orthotics & Prosthetics Services, LTD
- Goda Orentaite, PA-C
- Sarah Orsi, HEARING INSTR. SPECI
- Osf Healthcare System (OSF Little Company of Mary Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.