Michael Todd Bitzer, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070.016224 Issued in IL

Practice address

1033 Progress Dr
Grayslake, IL 60030-1672

Phone

(847) 257-5172

NPI assigned

Jul 28, 2005

Last updated

Sep 19, 2019By the provider in NPPES

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

Locations

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.

• Modern Athlete Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Grayslake, IL
  • NPI 1346859477
  NPD Authorized official

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1396745675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LYNN DR",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600479102",
            "telephone_number": "847-257-5172",
            "fax_number": "847-557-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 PROGRESS DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301672",
            "telephone_number": "847-257-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITZER",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.016224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Benoit
• Bonnie Elisabeth Bernero, MS
• Julie Anita Berry
• Michelle Bierlich
• Krystine Bird
• Christine Anne Blakey, ATC
• Victoria Blevins
• Sreevidya Bodepudi, DO
• Alla Bodner, M.D.
• Rubi Bolles, LCSW

• Orthopedic Physical Therapist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.