Still Water Physical Therapy and Massage, LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014262 Issued in IL

Legal business name

STILL WATER PHYSICAL THERAPY AND MASSAGE, LTD

Practice address

2525 Waukegan Rd
Ste 255
Bannockburn, IL 60015-5514

Phone

(847) 405-7611

Fax

(847) 405-7622

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Leanne Reed

Title

President

Phone

(847) 405-7611

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Bitzer, MPT

  • Physical Therapist
  • Bannockburn, IL
  • NPI 1114137353
  NPD (past)

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1497995237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WAUKEGAN RD",
            "address_2": "SUITE 255",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600155514",
            "telephone_number": "847-405-7611",
            "fax_number": "847-405-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WAUKEGAN RD",
            "address_2": "STE 255",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600155514",
            "telephone_number": "847-405-7611",
            "fax_number": "847-405-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATER PHYSICAL THERAPY AND MASSAGE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-405-7611"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Siegel, MD
• Jacqueline Mary Sieros, MD, MPH
• Annie Maria Skariah, MD
• Spot 26 Therapy
• Vitaliy M Stefanov, DPT
• Sharon Judith Strauss, PHD
• Zechariah Kaine Strine, LSW
• Jane Lucile Sussman, MSW., LSW.
• Sean Sutphen, DO
• The Baldwin Center for Psychological Services

• All providers in Bannockburn, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.