Leonard Wanta, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070003801 Issued in IL

Practice address

126 Circle Ridge Dr
Burr Ridge, IL 60527-8379

Phone

(630) 789-8962

Fax

(630) 654-3088

NPI assigned

Jun 30, 2016

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Leonard Wanta SC

  • Physical Therapy Clinic/Center
  • Burr Ridge, IL
  • NPI 1023564085
  NPD (past) Authorized official
• Leonard Wanta SC

  • In Home Supportive Care Agency
  • Burr Ridge, IL
  • NPI 1568890978
  NPD (past) Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1396196309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CIRCLE RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278379",
            "telephone_number": "630-789-8962",
            "fax_number": "630-654-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CIRCLE RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278379",
            "telephone_number": "630-789-8962",
            "fax_number": "630-654-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANTA",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vpa PC
• Linda C Wagner-Weiner, MD
• David W. Waitley, MD
• Walsh Nutrition Group, Inc.
• Laura Walsh, LDN, RDN, CPT
• R Parker Ward, MD
• Brooklyn Washington, DC
• Irving Waxman, MD
• Meredith Sanders Waymire, OTR/L
• Heidi Weishuk, O.T.

• Physical Therapist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.