Individual provider Active NPI

Amy D Zornow, P.T

  • Orthopedic Physical Therapist
  • Algonquin, IL
National Provider Identifier
1437126059
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070006659 Issued in IL
Practice address
1447 Merchant Dr
Algonquin, IL 60102-5917
Phone
(847) 658-1117
Fax
(847) 658-1118
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070006659 IL Primary

Addresses

Primary practice location

1447 Merchant Dr
Algonquin, IL 60102-5917

Mailing address

290 Prestwicke Blvd
Algonquin, IL 60102-9784
Phone (847) 854-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000784 IL Practitioner - Physical Therapist in Private Practice 6002851367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentzel Shore Capital IncGroup PAC ID 0941245203, 4 clinicians

Practice addresses (Care Compare)

1035 W Main St
Sleepy Hollow, IL 60118-3800
Phone (847) 428-9900

10719 Dundee Rd
Huntley, IL 60142-9706
Phone (847) 515-3366

1447 Merchant Dr
Algonquin, ID 60102-5917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070006659ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wentzel Shore Capital Inc Orthopedic CurrentSince Apr 18, 2005 Accepting new patients
Wentzel Shore Capital, Inc Past Accepting new patients

Locations

1447 Merchant Dr
Algonquin, IL 60102
Phone (847) 658-1117

750 Fletcher Dr
Ste 105
Elgin, IL 60123
Phone (847) 888-0663

10719 Dundee Rd
Huntley, IL 60142
Phone (847) 515-3366

10436 N State Route 47
Ste 105
Huntley, IL 60142
Phone (847) 515-3366

1035 W Main St
Sleepy Hollow, IL 60118
Phone (847) 428-9900

Organizations & group practices 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1437126059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 PRESTWICKE BLVD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029784",
            "telephone_number": "847-854-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-658-1117",
            "fax_number": "847-658-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORNOW",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070006659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.

Verify at the official NPI Registry.