Organization Active NPI

Workmens Compensation & Physical Therapy Inc

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1578837795
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WORKMENS COMPENSATION & PHYSICAL THERAPY INC
Practice address
11240 S Western Ave
Ste 4
Chicago, IL 60643-4116
Phone
(773) 779-1111
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Zbigniew Wisniewski
Title
Owner
Phone
(777) 779-1111

Specialties & licenses 1

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

Addresses

Primary practice location

11240 S Western Ave
Ste 4
Chicago, IL 60643-4116

Mailing address

PO Box 744
Oak Lawn, IL 60454-0744
Phone (773) 735-1111

National Provider Directory

National Provider Directory

Locations

11240 S Western Ave
Ste 4
Chicago, IL 60643
Phone (773) 779-1111

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1578837795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604540744",
            "telephone_number": "773-735-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 S WESTERN AVE",
            "address_2": "STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434116",
            "telephone_number": "773-779-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKMENS COMPENSATION & PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "WISNIEWSKI",
        "authorized_official_first_name": "ZBIGNIEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "777-779-1111"
    },
    "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.