Individual provider Active NPI

Izabela Adamus, PT

  • Physical Therapist
  • Hickory Hills, IL
National Provider Identifier
1477615102
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-009084 Issued in IL
Practice address
7667 W 95TH St Ste 108
Hickory Hills, IL 60457-2272
Phone
(708) 525-4640
NPI assigned
Dec 16, 2006
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-009084 IL Primary

Addresses

Primary practice location

7667 W 95TH St Ste 108
Hickory Hills, IL 60457-2272

Mailing address

8751 Waterfront Dr
Unit 2B
Palos Hills, IL 60465-3143
Phone (708) 525-4640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000778 IL Practitioner - Physical Therapist in Private Practice 7911932629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7667 W 95TH St
Suite 108
Hickory Hills, IL 60457-2272
Phone (708) 525-4640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-009084ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Preventology, Inc Physical Therapist CurrentSince Jan 8, 2009 Accepting new patients
Vital Rehabilitation & Physical Therapy Inc Physical Therapist Past Accepting new patients
Physical Therapy & Rehab Net Inc Physical Therapist PastSince Jan 1, 2006 Accepting new patients

Locations

7706 W Touhy Ave
Chicago, IL 60631
Phone (708) 525-4640

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1477615102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 WATERFRONT DR",
            "address_2": "UNIT 2B",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604653143",
            "telephone_number": "708-525-4640",
            "fax_number": "773-779-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7667 W 95TH ST STE 108",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572272",
            "telephone_number": "708-525-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMUS",
        "first_name": "IZABELA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.