Active NPI
Janette Donna Waksmanski, PTA
- Physical Therapy Assistant
- Bridgeview, IL
National Provider Identifier
1669083879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.008570
- Practice address
- 7125 Sholer Ave
Bridgeview, IL 60455-1062 - Phone
- (773) 372-5190
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- 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 | 160.008570 | IL | Primary |
Addresses
Primary practice location
7125 Sholer Ave
Bridgeview, IL 60455-1062
Mailing address
7125 Sholer Ave
Bridgeview, IL 60455-1062
Phone (773) 372-5190
Other practice location 1
7125 Sholer Ave
Bridgeview, IL 60455-1062
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jwaksmanski@gmail.com | Other |
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 |
|---|---|---|---|
| 160.008570 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1669083879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 SHOLER AVE",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604551062",
"telephone_number": "773-372-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 SHOLER AVE",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604551062",
"telephone_number": "773-372-5190"
}
],
"practiceLocations": [
{
"address_1": "7125 Sholer Ave",
"address_purpose": "LOCATION",
"city": "Bridgeview",
"state": "IL",
"postal_code": "604551062",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAKSMANSKI",
"first_name": "JANETTE",
"middle_name": "DONNA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.008570",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jwaksmanski@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "7125 Sholer Ave",
"city": "Bridgeview",
"state": "IL",
"country_code": "US",
"postal_code": "604551062",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bridgeview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.