Organization Active NPI

Michelle Dwyer Physical Therapy and Consulting

  • Physical Therapist
  • Glenview, IL
National Provider Identifier
1538977939
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MICHELLE DWYER PHYSICAL THERAPY AND CONSULTING
Practice address
2634 Patriot Blvd Ste B
Glenview, IL 60026-8024
Phone
(847) 414-4723
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Sherri L Goodman
Title
Billing Coordinator
Phone
(847) 764-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2634 Patriot Blvd Ste B
Glenview, IL 60026-8024

Mailing address

2519 Ashland Ave Unit 2
Evanston, IL 60201-2318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1538977939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 ASHLAND AVE UNIT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 PATRIOT BLVD STE B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-414-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE DWYER PHYSICAL THERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "847-764-1355"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.