Active NPI
Sherri Lyn Golebiowski, PT
- Pediatric Physical Therapist
- Grayslake, IL
National Provider Identifier
1487840112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 15 Commerce Dr
Suite 112
Grayslake, IL 60030-7807 - Phone
- (847) 223-0200
- Fax
- (847) 245-8889
- NPI assigned
- Sep 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | IL | Primary | |
| Physical Therapist | 225100000X | IL |
Addresses
Primary practice location
15 Commerce Dr
Suite 112
Grayslake, IL 60030-7807
Mailing address
15 Commerce Dr
Suite 112
Grayslake, IL 60030-7807
Phone (847) 223-0200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070011482 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Heroes LLC | Pediatrics | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1487840112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COMMERCE DR",
"address_2": "SUITE 112",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307807",
"telephone_number": "847-223-0200",
"fax_number": "847-245-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMERCE DR",
"address_2": "SUITE 112",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307807",
"telephone_number": "847-223-0200",
"fax_number": "847-245-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLEBIOWSKI",
"first_name": "SHERRI",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-17",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.