Active NPI
Leopold Werner, PTA
- Physical Therapy Assistant
- Elmhurst, IL
National Provider Identifier
1578837167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160005801
- Practice address
- 420 W Butterfield Rd
Elmhurst, IL 60126-4980 - Phone
- (630) 832-2300
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160005801 | IL | Primary |
Addresses
Primary practice location
420 W Butterfield Rd
Elmhurst, IL 60126-4980
Mailing address
420 W Butterfield Rd
Elmhurst, IL 60126-4980
Phone (630) 832-2300
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 |
|---|---|---|---|
| 160005801 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1578837167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W BUTTERFIELD RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601264980",
"telephone_number": "630-832-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W BUTTERFIELD RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601264980",
"telephone_number": "630-832-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "LEOPOLD",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-29",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160005801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
- Jerold Bart Weinberg, MD
- Wellbody Physical Therapy & Wellness
- Wellington Home Care LLC
- Ana L Wells, MSN, APRN, FNP-BC
- Wellspring Naprapathic & Integrative Health Inc
- West Suburban Multi-Specialty Medical Services Association SC
- West Suburban Orthodontics
- West Suburban Surgical Assistants LLC
- Amy R. Westbrook, RN,CNS,APN
- Kimberly Weyneth, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.