Active NPI
Liesel A Brown, PT
- Physical Therapist
- Wilmette, IL
National Provider Identifier
1437376936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070009534
- Practice address
- 1222 Washington CT
Ste 200
Wilmette, IL 60091-2615 - Phone
- (773) 919-0828
- NPI assigned
- Apr 19, 2007
- Last updated
- Mar 10, 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 | 070009534 | IL | Primary |
Addresses
Primary practice location
1222 Washington CT
Ste 200
Wilmette, IL 60091-2615
Mailing address
1222 Washington CT
Ste 200
Wilmette, IL 60091-2615
Phone (773) 919-0828
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 567700 | Other | IL | MEDICARE GROUP NUMBER |
| 568150 | Other | IL | MEDICARE GROUP NUMBER |
| 1619908 | Other | IL | BCBS IL GROUP |
| 568080 | Other | IL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1437376936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 WASHINGTON CT",
"address_2": "STE 200",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912615",
"telephone_number": "773-919-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 WASHINGTON CT",
"address_2": "STE 200",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912615",
"telephone_number": "773-919-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "LIESEL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070009534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "567700",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568150",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL GROUP",
"identifier": "1619908",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "568080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.