Active NPI
Michelle Ciarlette, PT
- Physical Therapist
- Romeoville, IL
National Provider Identifier
1679120240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.010234
- Practice address
- 605 Edward Dr
Romeoville, IL 60446-6507 - Phone
- (815) 556-2487
- NPI assigned
- Aug 19, 2019
- Last updated
- Aug 19, 2019
- 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 Therapist | 225100000X | 070.010234 | IL | Primary |
Addresses
Primary practice location
605 Edward Dr
Romeoville, IL 60446-6507
Mailing address
2507 Lakeridge Dr
Lockport, IL 60441-3996
Phone (815) 351-0514
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 |
|---|---|---|---|
| 070.010234 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1679120240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 LAKERIDGE DR",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604413996",
"telephone_number": "815-351-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 EDWARD DR",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604466507",
"telephone_number": "815-556-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARLETTE",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.010234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.