Active NPI
Michelle Dwyer Physical Therapy and Consulting
- Physical Therapist
- Glenview, IL
National Provider Identifier
1538977939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.