Organization Active NPI

Wlodarski Therapy Group PC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1669590816
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006747 Issued in IL
Legal business name
WLODARSKI THERAPY GROUP PC
Practice address
4005 N Nashville Ave
Chicago, IL 60634-1428
Phone
(773) 777-9871
Fax
(773) 777-9872
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Wieslaw Wlodarski, PT
Title
President PT
Phone
(773) 777-9871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070006747 IL Primary

Addresses

Primary practice location

4005 N Nashville Ave
Chicago, IL 60634-1428

Mailing address

4005 N Nashville Ave
Chicago, IL 60634-1428
Phone (773) 777-9871

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1669590816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 N NASHVILLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341428",
            "telephone_number": "773-777-9871",
            "fax_number": "773-777-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 N NASHVILLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341428",
            "telephone_number": "773-777-9871",
            "fax_number": "773-777-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLODARSKI THERAPY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "WLODARSKI",
        "authorized_official_first_name": "WIESLAW",
        "authorized_official_title_or_position": "PRESIDENT PT",
        "authorized_official_telephone_number": "773-777-9871",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006747",
            "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 25, 2008; 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.