Individual provider Active NPI

Maria Molek, PTA, PART C IEC

  • Physical Therapy Assistant
  • Chicago, IL
National Provider Identifier
1639207947
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160-003677 Issued in IL
Practice address
4837 W Addison St Apt 3B
Chicago, IL 60641-3531
Phone
(847) 724-7697
NPI assigned
Feb 28, 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 Therapy Assistant 225200000X 160-003677 IL Primary

Addresses

Primary practice location

4837 W Addison St Apt 3B
Chicago, IL 60641-3531

Mailing address

4837 W Addison St Apt 3B
Chicago, IL 60641-3531
Phone (773) 481-2390

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

LicenseStateTypeSpecialty
160-003677ILMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639207947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 W ADDISON ST APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413531",
            "telephone_number": "773-481-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 W ADDISON ST APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413531",
            "telephone_number": "847-724-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLEK",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "PTA, PART C IEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160-003677",
            "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 Jul 8, 2007; 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.