Active NPI
Melanie A. Wokwicz, P.T.
- Specialist
- Vernon Hills, IL
National Provider Identifier
1407066491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 555 Corporate Woods Pkwy
Vernon Hills, IL 60061-3111 - Phone
- (847) 634-9400
- Fax
- (847) 634-2900
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
555 Corporate Woods Pkwy
Vernon Hills, IL 60061-3111
Mailing address
555 Corporate Woods Pkwy
Vernon Hills, IL 60061-3111
Phone (847) 634-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110615000494 | IL | Practitioner - Physical Therapist in Private Practice | 6507043734 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Naperville, IL 60563
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Luna Care Physical Therapy LLC | Current | Accepting new patients |
Locations
1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407066491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 CORPORATE WOODS PKWY",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613111",
"telephone_number": "847-634-9400",
"fax_number": "847-634-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 CORPORATE WOODS PKWY",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613111",
"telephone_number": "847-634-9400",
"fax_number": "847-634-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOKWICZ",
"first_name": "MELANIE",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.