Individual provider Active NPI

Carla Piggee

  • Physical Therapist
  • Chicago Heights, IL
National Provider Identifier
1609356658
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.021892 Issued in IL
Practice address
1040 Dixie Hwy
Chicago Heights, IL 60411-2690
Phone
(708) 300-6961
Fax
(708) 515-9723
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.021892 IL Primary

Addresses

Primary practice location

1040 Dixie Hwy
Chicago Heights, IL 60411-2690

Mailing address

1040 Dixie Hwy
Chicago Heights, IL 60411-2690
Phone (696) 170-8300

Other names 1

  • Carla Philizaire Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.021892ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Indiana LLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Fox Rehabilitation Services Il LLC Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Therapy on Wheels, Inc. Physical Therapist CurrentSince Dec 20, 2020 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1920 Maple Ave
Lisle, IL 60532
Phone (630) 725-7000

14901 Carey Rd
Carmel, IN 46033

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

98 N 10th St
Greencastle, IN 46135
Phone (765) 301-4642

10 S 9th St
Ste 4
Noblesville, IN 46060

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1609356658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112690",
            "telephone_number": "696-170-8300",
            "fax_number": "515-708-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112690",
            "telephone_number": "708-300-6961",
            "fax_number": "708-515-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGGEE",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "PHILIZAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.