Individual provider Active NPI

Carrie Baltsen Landsman, PT

  • Physical Therapist
  • River Forest, IL
National Provider Identifier
1619178266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7411 Lake St
Suite 2190
River Forest, IL 60305-1876
Phone
(708) 488-1700
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

7411 Lake St
Suite 2190
River Forest, IL 60305-1876

Mailing address

1122 N Ridgeland Ave
Oak Park, IL 60302-1136
Phone (708) 383-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411003061 IL Practitioner - Physical Therapist in Private Practice 4183063019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centre Physical Therapy Riverside LLCGroup PAC ID 6901203074, 5 clinicians

Practice addresses (Care Compare)

1 Riverside Rd
Suite 107
Riverside, IL 60546-2276
Phone (708) 210-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.008953ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Physical Therapy Riverside LLC Physical Therapist CurrentSince Apr 28, 2024 Accepting new patients
Centre Physical Therapy Physical Therapist CurrentSince May 1, 2024 Accepting new patients
VHS West Suburban Medical Center Inc Past Accepting new patients

Locations

207 Harrison St
Oak Park, IL 60304
Phone (312) 391-8752

1 Riverside Rd
Ste 107
Riverside, IL 60546
Phone (708) 210-9800

Organizations & group practices 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619178266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021136",
            "telephone_number": "708-383-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST",
            "address_2": "SUITE 2190",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051876",
            "telephone_number": "708-488-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSMAN",
        "first_name": "CARRIE",
        "middle_name": "BALTSEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.